Complete and submit the agreement below.
MONTANA OWNED. AMERICAN MADE.
REQUEST A QUOTE
24/7 Emergency Services Phone Number
1818 Minnesota Ave.
PO Box 1078
Billings, MT 59103
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I authorize my employer, Cross Petroleum Service, and its Agents, including Financial Institutions, to initiateelectronic credit entries, and if necessary, debit entries and adjustments for any credit entries in error to my checking and/or savings accounts listed above. This authorization will remain in effect until I have informed my employer in writing that I wish to cancel it and my employer has had reasonable time to effect such cancellation.