Authorization: The information given on this application is
complete and correct. The applicant authorizes Titletown Oil Corp.
to verify or check any of the information given, obtain additional
information concerning their credit standing and to furnish the
same to others. Applicants understand that all inquiries and
records are maintained in the strictest confidence and in compliance
with the Fair Credit Reporting Personal Guaranty At 1971
and the Equal Credit Opportunity Act 1975.
I hereby authorize TITLETOWN OIL, for its own account to initiate electronic funds transfer
debit and credit entries to Customer's deposit account indicated below, and does further authorize the financial institution named below
to debit or credit such entries to the Customer's account.
This authority shall remain in effect until terminated upon thirty (30) days written notice by either Customer or TITLETOWN OIL to the
other. Notice of termination in no way affect drafts for the payment for product delivered to Customer prior to actual receipt of notice.