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Draft Check Authorization Form

Casa Theodore, Inc

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as a draft check. This draft will be automatically debited from my account. I understand that I presently have these funds available in my account to process this draft. This is to be done on a one time only basis. This draft authorization is solely for the use of Casa Theodore, Inc. for:
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Note: Please DO NOT send the original check when submitting original paperwork by mail. Please retain a copy of this for your records.
Please make check payable to Casa Theodore, Inc.
Place your check here

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