1.2 Authorised Signatories Declaration

Signatory Position

I hereby declare that we, the Management Committee, have appointed the persons listed below to be our primary contacts and nominated authorised signatories on all documents forwarded to Community Connections Solutions Australia Inc. (herein referred to as CCSA) relating to our contract with CCSA for the provision of Payroll and/or Bookkeeping Services.

Should the authorised signatories change within the period of the specified contract period, we shall advise CCSA immediately by providing a duly signed Authorised Signatories Form.

We, the members of the Management Committee, also understand that CCSA will not process any documentation, which does not carry the name and signature of a duly authorised signatory.

Primary Authorised Signatory

Full Name

Secondary Authorised Signatory

Full Name

President/Chairperson

Name
DD slash MM slash YYYY

Vice President/Secretary/Treasurer

Name
DD slash MM slash YYYY