DIRECT DEPOSIT

Leadership Cheques
We are pleased to offer you the convenience of direct deposit! Have your Leadership Cheque automatically deposited into your checking or savings account by the 10th of each month. There is no need to change your present banking relationship to take advantage of this service. Direct deposit is safe, convenient and easy! Save trips to your financial institution. Save time depositing your checks no waiting in line. Eliminate the possibility of lost, stolen or forged checks. Enjoy faster deposits, reducing the possibility of overdrafts. Receive deposits even if you are on vacation, sick or away on business. How direct deposit works: By the 10th of each month, your Leadership Cheque will be deposited into your account. The amount of the deposit will also appear on your bank statement. The authorization form below gives Tastefully Simple and your financial institution the authority to deposit your Leadership Cheque into your account. To take advantage of this service, please complete the authorization form and return to Tastefully Simple. ---------------------------------------------------------------------------------------------------------
CONSULTANT AUTHORIZATION - Please complete and return to HQ no later than the last business day of the month
in order to be in effect for the next leadership cheque received on the 10th of the following month.

Remit to: Tastefully Simple, Attn: Accounting, 1920 Turning Leaf Lane SW, PO Box 3006, Alexandria, MN 56308-3006. I authorize Tastefully Simple and the financial institution listed below to initiate electronic credit entries and, if necessary, debit entries and adjustments for any credit entries which were incorrectly funded by Tastefully Simple or for any credit entries otherwise in error to my: Checking account Please attach a voided check. This authority will remain in effect until I cancel it in writing. Name (please print): ______________________________________________ Financial Institution: _______________________________________________ City: _________________________________________________________ Signature: ________________________________________________________ ID#: _________________________ Branch: ______________________ State: ______ Zip: ____________ Savings account

Address: _________________________________________________Bank Phone:_________________________ Date: ________________________

TRANSIT/ROUTING (ABA) NUMBER

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(The 9-digit number on the bottom left corner of your check)

ACCOUNT NUMBER AT FINANCIAL INSTITUTION

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COMPANY NAME: Tastefully Simple, Inc.

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