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Submission: On December 09 via manual from MY — Scanned from US
Submission: On December 09 via manual from MY — Scanned from US
Form analysis 1 forms found in the DOM
<form id="hs-form-170ff77f-3111-42ce-acc0-bf1f8154819a-d6aea5ec-e481-447e-a859-2defb56fe0c0" class="hs-form-170ff77f-3111-42ce-acc0-bf1f8154819a hs-form hs-form_theme-canvas" data-instance-id="d6aea5ec-e481-447e-a859-2defb56fe0c0"
data-form-id="170ff77f-3111-42ce-acc0-bf1f8154819a" data-portal-id="47761501" lang="en" data-test-id="hs-form-170ff77f-3111-42ce-acc0-bf1f8154819a-d6aea5ec-e481-447e-a859-2defb56fe0c0" data-hs-cf-bound="true">
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<div data-hsfc-id="RichText" style="font-size: 14px; color: rgb(51, 71, 91);"><img src="https://47761501.fs1.hubspotusercontent-na1.net/hubfs/47761501/hh.png"
style="max-width: 100%; max-height: 100%; display:block; margin-left:auto; margin-right:auto;" data-img-aspect-ratio="3.2291666666666665" alt="hh" width="465" data-img-width="465" data-img-height="144"></div>
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<h1 style="background-color: #ffffff; text-align: center;" class="form-header" id="header_1">Completed: Complete with DocuSign</h1>
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<div data-hsfc-id="RichText" style="font-size: 14px; color: rgb(51, 71, 91);">
<p style="text-align: center;"><span style="background-color: #ffffff; text-align: center;">Recurring ACH Payment Authorization.pdf</span></p>
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<div data-hsfc-id="RichText" style="font-size: 14px; color: rgb(51, 71, 91);">
<p style="text-align: center;"><span style="background-color: #ffffff; text-align: center;">CONFIDENTIALITY NOTICE TO RECIPIENT(S): This e-mail transmission (and/or the attachment(s) accompanying it) may contain confidential information,
belonging to the sender, which is protected by the attorney-client privilege. The information is only for the use of the intended recipient. If you are not the intended recipient, you are hereby notified that any disclosure, copying or
distribution of any information in this transmission, or the taking of any action in reliance on the contents of this transmission, is strictly prohibited.</span></p>
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<div class="hs-form__actions"><button type="submit" name="REVIEW DOCUMENT" class="hs-form__actions__submit" lang="en">REVIEW DOCUMENT</button></div>
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</form>Text Content
Skip to form COMPLETED: COMPLETE WITHÂ DOCUSIGN Recurring ACH Payment Authorization.pdf CONFIDENTIALITY NOTICE TO RECIPIENT(S): This e-mail transmission (and/or the attachment(s) accompanying it) may contain confidential information, belonging to the sender, which is protected by the attorney-client privilege. The information is only for the use of the intended recipient. If you are not the intended recipient, you are hereby notified that any disclosure, copying or distribution of any information in this transmission, or the taking of any action in reliance on the contents of this transmission, is strictly prohibited. REVIEW DOCUMENT