Nebo Aviation Services, Punta Gorda, Fl -- APG Eastern Avionics International --- Nebo Aviation Services, Moscow, Russia

AUTHORIZATION AGREEMENT FOR AUTO DEBIT PAYMENTS (ACH)

CUSTOMER NAME: _________________________________________

I hereby authorize APG Eastern Avionics International, Inc. to initiate debit entries to my checking account indicated below at the bank named below.

I hereby authorize my Bank to charge my checking account and pay APG Eastern Avionics International, Inc. per agreed upon payment terms.

This authorization to charge my account at my bank shall be the same as if I had personally signed a check to APG Eastern Avionics International, Inc.

This authorization is to remain in full force and effect unti APG Eastern Avionics International, Inc. has received written notification
from me of its termination in such time and in such manner as to afford APG Eastern Avionics International, Inc. and Bank a reasonable opportunity to act on it.

A record of each charge to my account will be included in my bank statement and will serve as my receipt.

Furthermore, APG Eastern Avionics International, Inc. will mail a separate invoice for my records.

Bank Name: ________________________________________________

Branch: City: _________________________________________________

State: _______________ Zip Code: _______________________________

Transit Routing Number: ________________________________________

Account Number: _____________________________________________

Name on Bank Account: _______________________________________

Address: ____________________________________________________

City: _______________________________________________________

State: _______________ Zip Code: _______________________________

Signature: __________________________________________________

Printed Name: ________________________________________________

Date Signed: _________________________________________________

Reference Quote and/or Invoice# (Required): _________________________

Amount: $ ___________________________________________________

Please Complete this Form and FAX or mail it to APG Eastern Avionics International, Inc. at the FAX# or address shown below.