Employer Name: Excel Gymnastics training center, inc.
Employer i.d. 13-64093380
I hereby authorize my employer DBA EXCEL GYMNASTICS to initiate credit entries and to
initiate if necessary, debit entries and adjustments for any credit entries in error to my
(our) account or accounts listed below.
This authority is to remain in full force and effect until Rob Brown/Excel Gymnastics has received
written notification from me (or either of us) of its termination in such time and manner as to
afford Rob Brown/Excel Gymnastics a reasonable opportunity to act on it.