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L I authorize you and Red River Community CU to initiate electronic credit entries, and if necessary, debit entries and adjustments for any credit entries in error to my: $ Checking Account # $ Savings Account # each pay period. This authority will remain in effect until I have cancelled it in writing. Financial Institution Information Account Holder Information Financial Institution: Red River Community CU Name (Please print): Address: 2721 N. Main SS#: City, State, Zip: Altus, OK 73522.

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