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MODERN AUTOMATIC BANK WITHDRAWAL FORM Call 403. 259. 4442 Fax 403. 259. 4485 Fill in the blanks regarding your checking/savings account ATTACH A VOIDED CHECK OR DEBIT FORM a deposit slip will not be valid as the bank routing number may differ and please remit to MODERN BEAUTY SUPPLIES 415 MANITOU RD SE CALGARY AB T2G 4C2 I we hereby authorize Modern Beauty Supplies to initiate monthly electronic funds withdrawal from the following checking/savings account indicated below. I we understand that...
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