DIRECT DEPOSIT
AUTHORIZATION FORM ACH
I hereby
authorize Kansas City Management Solutions,
hereinafter
called COMPANY, to initiate credit entries and adjustments for any credit entry
in error to my account indicated below and the financial institution named
below, hereinafter called DEPOSITORY, to credit and/or debit the same to such
account. This authority is to remain in
full force and effect until COMPANY has received written notification from me
(or either of us) of its termination in such time and in such manner as to
afford COMPANY and DEPOSITORY a reasonable opportunity to act on it.