AUTHORIZATION CERTIFICATE FOR RELEASE OF CREDIT UNION DATA

CompuSource Systems, Inc. ("we" or "us")                                                       Fax: (716) 636-3711

Credit Union Name: ______________________________________________________           ("you")

Whereas, you have authorized the use of your credit union backup by us for the purpose described below, and

Whereas, we have already obtained a copy of this data for CSS-eVault storage.

Now therefore in furtherance thereof, you agree to the release of this data to the Individual/Department listed below.

It is your responsibility to complete and return this form to Nicki Grisanti at our office via fax to the number listed above; at which time the data will be forwarded to the party so listed.

Purpose of request for Credit Union Data:

Print Member Statements

Please release the Credit Union e-Vault data for the following date: _____________________________

to the following Individual/Department: Statement Processing Dept.

Signed,

______________________________________________                          __________________________

Authorized Signature                                                                                                Date