Direct Deposit Authorization Agreement

Direct Deposit Authorization Agreement
Employee Name
Employee # (if applicable)
I hereby authorize Events By Marylle, LLC, hereafter called the Company, to initiate credit entries and to initiate, if necessary, debit entries and adjustments for any credit entries made in error to my (our) account indicated below. I hereby authorize the depository named below, hereafter called the Depository, to credit and debit entries to such account.
Bank Name
City:
State:
Zip:
Bank Routing Number (Bottom left number on your check)
Account Number (Middle number on bottom of your check)
Checking or Savings (Please choose one)

CheckingSavings
Name (print):
Signature: (If using phone or tablet, use finger to sign. If using computer, use mouse to sign.)

Clear
Date:

MonthDayYear
Date
Image: Please include image of a voided blank check or something that shows your routing and account number. You may also email this info or take a photo and text it.

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