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EMPLOYEE AUTHORIZATION FOR DIRECT DEPOSIT

This authorizes Quik Travel Staffing, Inc. to send payroll credit entries (and appropriate debit and adjustment entries) electronically, or by any other commercially accepted method, to my bank account indicated below. This also authorizes the financial institution holding my account to post all such entries.

Employee Name (Please Print) _____________________________________________

Account Type (e.g. Checking, Savings, Loan...) __________________________________

Bank Name _____________________________

Branch _____________________

Bank City _______________________________

State _______________________

Account # _____________________________________________________________

Bank Routing # (ABA #) __________________________________________________

Employee Signature ________________________________

Date ______________

Please include with this form a copy of a Personal Check (marked Void) or Deposit Slip indicating the Bank Account and Routing numbers and mail to the address below or fax to 1-800-554-7501.

Note:

Direct Deposit payroll funds will be credited to your account 4 banking days after the end of the pay-period unless delayed by one day due to a banking holiday. (This authorization will be in effect until Quik Travel Staffing, Inc. receives written termination notice)

175 E. OLIVE AVENUE, SUITE 101

BURBANK, CALIFORNIA 91502

TEL 800 554-2230

FAX 800 554-7501

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