By enrolling in automatic payments (auto pay), I authorize Northern California Dental Society Foundation (“NCDS Foundation”) to make my charitable donation either by electronic fund transfers (“EFT”) or by credit card (“Credit Card”). In the case of EFT, I authorize NCDS Foundation to initiate automated debits to the checking account shown on the next screen, and authorize the depository institution shown on the next screen (“Bank”) to debit such account for such amounts. This authorization includes all adjusting entries, either debit or credit, that may be required. In the case of Credit Card, I authorize Foundation to charge the credit card shown on the next screen on a monthly basis for payment of my charitable donation. The first EFT debit or Credit Card charge will be on the day of my enrollment in automatic payments (“Enrollment Date”). However, the first EFT debit may be delayed up to approximately four (4) additional business days. For evergreen donations, subsequent EFT debits or Credit Card charges shall be made on the same calendar day as my Enrollment Date of each succeeding month unless I tell you to stop; for one-time donations, subsequent EFT debits or Credit Card charges shall be made on the same calendar day as my Enrollment Date of each succeeding month for a total of twelve months. In the case of EFT, if the scheduled date of a debit falls on a weekend or a legal or business holiday, the debit will occur on the next business day. For evergreen donations, each EFT debit or Credit Card charge shall be in the monthly donation amount shown on the next screen; for one-time donations, each EFT debit or Credit Card charge shall be in an amount equal to a fraction (the numerator of which shall be “1” and the denominator of which shall be “12”) multiplied by the one-time donation amount shown on the next screen. If an EFT debit or Credit Card charge cannot be made, NCDS Foundation is authorized to attempt to initiate the EFT debit or Credit Card charge again at a later time. If, for any reason, an EFT debit or Credit Card charge is dishonored, I agree to pay NCDS Foundation a fee of $25. NCDS Foundation is not liable for any losses incurred by reason of any failure in the automated EFT debit or Credit Card charge process. I am responsible for any fees that may be imposed by my Bank or Credit Card company. If my Bank account or Credit Card is frozen or closed, there are insufficient funds in my Bank account, or the EFT debit or Credit Card charge is not made for any other reason on any two EFT debit or Credit Card charge dates, NCDS Foundation may terminate the automatic payments by giving me written notice at my address as shown in NCDS Foundation’s records. I may terminate automated debits by notifying NCDS Foundation at 1957 Pine Street, Redding CA 96001 Attention Executive Director, and the termination will be effective ten (10) business days after the date the notice is received by NCDS Foundation. This authorization shall be governed by and interpreted in accordance with the laws of the State of California, without giving effect to any choice of law rule that would cause the application of the laws of any other jurisdiction to the rights and duties of the parties.