Direct Deposit 

Authorization Agreement

                                                                                                                                                                                                

 AUTHORIZATION AGREEMENT FOR AUTOMATIC DEPOSITS (ACH CREDITS)

COMPANY NAME: VIRTUAL RESOURCE MANAGEMENT CORP. t/a SHERMAN SERVICES

EMPLOYEE NAME: _____________________________________________________

I hereby authorize Virtual Resource Management Corp., hereinafter called SHERMAN SERVICES, to initiate credit entries and to initiate, if necessary, debit entries and adjustments for any credit entries to my

    * [ ] Checking }

      [ ] Savings  } select one

indicated above at the depository (bank) named below, hereinafter called DEPOSITORY.

DEPOSITORY NAME: ______________________________________________________

BRANCH: _______________________________________________________________

CITY, STATE, ZIP: _____________________________________________________

ROUTING NO.: __________________________________________________________

ACCOUNT NO.: __________________________________________________________

* INCLUDE A VOIDED CHECK

This authorization is to remain in full force and effect until SHERMAN SERVICES has received written notification from me of its termination in such time and in such manner as to afford SHERMAN SERVICES and DEPOSITORY a reasonable opportunity to act on it.

 

NAME: ____________________________________ EMPLOYEE NO.: _______________

            (Signature Required)

DATE: ___________________________________

 

This form can be mailed to: Sherman Services

                            Virtual Resource Management Corp.

                            P.O. Box 598

                            Clarksburg, NJ  08510

If applicable, remember to mail an original voided check.

 
 

                                                                                                                                                                                           

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Last modified: 09/11/07

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