Direct Deposit

I authorize Southwestern Diabetic Foundation Inc. / Camp Sweeney (the "Company") to send credit entries (and appropriate debit and adjustment entries), electronically or by any other commercially accepted method, to my account indicated above (the "Account"). This form authorizes the financial institution holding the Account to post all such entries. I understand that my paychecks, reimbursement checks, and payment checks will be direct deposited into the Account. I understand this authorization will be in effect until the Company receives written termination notice from the Account holder and has a reasonable opportunity to act on it.