Mains'lServices,Inc.7000 78th Avenue North Brooklyn Park, MN 55445 Ph: 763.494.4553 Fax: 763.416.9198 PAYROLLAUTHORIZATIONFORMComplete and return to the Payroll Department Full Legal Name:__________________________________________ Employee Number: _______ Email Address:_______________________________________________________________

Checktheappropriateitem:(morethanoneboxmaybechecked) _____ rapid!PayCard‐PrimaryI hereby request and authorize the entire amount of my paycheck each pay period to be deposited into a rapid! PayCard. The rapid! PayCard will be mailed to your home address on file with Mains’l prior to your first pay date. _____ DirectDeposit‐PrimaryorSecondary I hereby request and authorize the entire amount of my paycheck each pay period to be deposited into: Checking Savings Pay Card (not provided by Mains’l ) Bank Name/Branch: _______________________________ Account Number: _______________________________ Routing Number: _______________________________ Attach check here _____ DirectDeposit‐SecondaryAccountorThirdAccountI hereby request and authorize the sum of $_________________ to be deducted from my paycheck each pay period and to be deposited directly into account indicated below with the remaining balance going into my primary account. Checking Savings rapid!PayCard Pay Card (not provided by Mains’l ) Bank Name/Branch: _______________________________ Account Number: _______________________________ Routing Number: _______________________________ Attach check here _____ IwouldliketocancelmydepositI hereby cancel the authorization for my current direct deposit or payroll deduction effective (date) _______________. Please note, if a revised direct deposit is not submitted, a rapid!PayCard will be activated for you. I authorize Mains’l Services, Inc. and the financial institution named above to automatically deposit my net pay to my account and to reverse any entries made in error. This authority will remain in effect until I give written notice to cancel it. __________________________________ ____________________ SIGNATURE DATE

Mains’l Services, Inc. is providing you with a great new benefit, the rapid! PayCard® Visa® Payroll Card. You can automatically deposit your paycheck onto a debit card so you have instant access to your cash the same morning of your payday!

It's easy, more secure than cash, and saves you money over check cashing fees.

What is the rapid! PayCard? rapid! PayCard is a payroll debit card which means you can only spend the money you have on your card. The rapid! PayCard does not require a credit check. It can be used at ATMs, retail stores, gas stations, grocery stores worldwide and wherever Visa debit cards are accepted.

SAVE MONEY - much less expensive than check cashingGet cash 24 x 7 at any Allpoint® ATM, America’s Largest SURCHARGE FREE NetworkAccess to your money by 9am (CST) on paydayNo cost to enrollNo credit check required

Safe & Secure – your money and card are protected!Shop online or by phoneMake purchases using your rapid! PayCard Visa card anywhere Visa is accepted.No more stolen or lost checksFree, bilingual customer service

Have your pay automatically deposited to your rapid! PayCardContact your Payroll Department now!

Getting Paid Just Got Easier!

Easy ways to get your pay FOR FREE!

The FIRST transaction after you

are paid is FREE when using

one of the following:

• POS Store Purchase - Debit

(including cash-back, where

available)

• US Post Office Money Order

• Electronic Transfer to a bank

account

• Request a Check

• ChekToday - Convenience

checks

• Allpoint® ATM Withdrawal

• Over-the-Counter at any

Visa participating bank