This is to acknowledge that I am an authorized signer on the bank account listed below and am a duly authorized representative/officer/owner of the company named on this document. KwickPOS is hereby authorized to initiate debit entries to the bank accountidentified below and the bank is authorized to debit such account. KwickPOSwill debit the referenced checking account monthly in the amount of my Company'sinvoice for such services provided and/or billed by KwickPOS. This billing will be deducted between the 1st and 10th day of each month to pay the previous months balance due in full. A copied or voided check attached must be attached or provided with this completed form. This authority is to remain in full force until this authorization is cancelled in writing with a minimum 15 business day notice. If an authorized ACH DEBIT is not paid by your financial institution due to non- sufficient funds (NSF), there will be a $35.00 administrative fee assessed, the payment then due must be made prior to the next billing cycle and your auto debit will be cancelled.