I certify that the information provided on this form is correct, and I hereby authorize the Atrium Dispensary Accounts Payable to electronically deposit payments to the bank account designated above. It is my responsibility to notify AP (
jordyn@atriumtopanga.com or
(805) 559-0682) immediately if I believe there is a discrepancy between the amount deposited to my bank account and the amount of the invoice(s) paid. I understand that I must notify Atrium Dispensary in writing using the form above immediately of any changes in status or banking information. I understand that this authorization will remain in full force and effect until Atrium Dispensary has received written notification requesting a change or cancellation and has had reasonable opportunity to act on it, which should take no longer than seven (7) to ten (10) business days.