Customer Bill Pay: Direct Deposit Authorization (ACH)
ACH=Automated Clearing House
Invoice Number
Invoice Amount
*
Type of Bank Account
*
Personal Checking
Personal Savings
Business Checking
Business Savings
Other
Name(s) on Bank Account (business name if used)
*
Routing Number
*
must be 9 numbers - no spaces
Account Number
*
must be 9-12 numbers - no spaces
Phone Number
-
Area Code
Phone Number
Email
*
example@example.com
Signature
*
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Should be Empty: