CTS EFT Authorization

Complete and submit this secure form in order to receive payment from Columbia Theological Seminary by electronic funds transfer to the bank account you indicate. By submitting this form, you consent to EFT being the only payment method available from CTS until you revoke your authorization. CTS is not responsible for errors you make on this form, which will delay payment. You will receive an email confirming payment details. Please keep CTS apprised of any change in banking or email information. Please email questions to AP@ctsnet.edu.

Full legal name

First NameMiddle NameLast NameSuffix

Your business name, if applicable

Please select one:

Student ID Number - required for students:

U.S. Postal Address

Street Address

Street Address Line 2

CityState

Zip Code

Your Phone Number

Area CodePhone Number

Email - please enter twice

Confirmation Emailexample@example.com

Name(s) on Bank Account (business name if used)

Legal account holder

Routing Number

must be 9 numbers - no spaces

Account Number

must be 9-12 numbers - no spaces

Bank Name

Bank Branch address

City, State

Type of Bank Account

Bank Phone Number

Area CodePhone Number

Date

Signature

Enter the message as it's shown

Electronic Funds Transfer Authorization (EFT)