Kiosoft Banking Update

KIOSOFT Express

Agreement and Settlement Authorization
ACH Payments:
I Bank Account Holder Name authorize Kiosoft's billing Agent, TechTrex, Inc., to deposit the NET revenue (as described above) into the following account on my behalf:
Account Type*

CheckingSavings
Account Ownership*

PersonalBusiness
Bank Name*
Account Name*
Routing Number*
Account Number*
I understand that this authorization will remain in effect until I cancel it in writing, and | agree to notify TechTrex, Inc. in writing of any changes in my account information or termination of this authorization at least 15 days prior to the next payment/billing date. If the above noted billing/payment dates fall on a weekend or holiday, understand that the payments may be executed on the next business day. I acknowledge that the origination of Credit Card or ACH transactions to my account must comply with the provisions of U.S. law. I certify that I am an authorized user of this Credit Card or Bank Account and will not dispute these transactions; so long as the transactions correspond to the terms indicated in this authorizationform.
CardholderBank Account Holder Signature*

Clear
Date*

MonthDayYear
Date
PRINT NAME*
Should be Empty:

KIOSOFT Express