BANK DRAFT AUTHORIZATION

I hereby authorize Pace Laser Products, Inc., dba Affordable Checks to draft my bank account,
designated below, electronically or by a paper check for the amount of orders placed by me or on my behalf.
This authorization will remain in effect for all future orders until revoked by me in writing.

Name on account

Bank name

Bank transit number

Account number


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Authorized Signature as Accepted by Bank Date