Instructions: Please complete this form in its entirety, taking special care to enter the correct bank routing and account information. We will call you to acknowledge receipt of this authorization and will not process this transfer unless we speak with you personally. Questions? Call 781.899.5300 Ext 1.
Note: This form is not directly linked to a bank account or payment processing system. It merely provides information to our office for secure manual entry through our Intuit Payment Solutions account.