• I hereby authorize Marne Elk Horn to debit my checking or savings account each month for the amount of my monthly bill. I agree that Marne Elk Horn’s rights inrespect to each payment shall be the same as if it were a payment personally authorized by me. This authority is in full force and effect until Marne Elk Horn hasreceived written notification from me of its termination in such time and manner as to afford Marne Elk Horn and our financial institution a reasonable opportunity toact on it. Automatic withdrawal will continue monthly until services are requested to be cancelled.

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