Pender County Vendor ACH Payment Form

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Pender County Vendor ACH Payment Form

To be completed by vendor
Pender County Finance is happy to offer the ability to receive Electronic ACH payments to all vendors. If you would like to be set up to receive your payments via ACH rather than a physical check, please complete the form below. If you have questions please contact the Pender County Finance Department at 910-259-1282.

Please note that EFT advices will be emailed automatically from our system to the email address provided and come from accountspayable@pendercountync.gov.
Vendor Name*
Vendor Contact*

First NameLast Name
Vendor Contact Phone Number*

Area CodePhone Number
Contact Email*
example@example.com
EFT Email, if different from above
example@example.com
Bank Name*
Bank Routing Number*
Bank Account Number*
Please upload a VOID check image

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What is the name of your contact with the County?
What department does your County contact work in?
Signature*

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