Waccamaw Community Foundation ACH Authorization Agreement
ACH=Automated Clearing House
Payee Name
*
Organization Name
*
Organization Name required if different than Payee
Tax ID/EIN
*
must be 9 number - no spaces
Routing Number
*
must be 9 numbers - no spaces
Account Number
*
must be 9-13 numbers - no spaces
Bank Name
*
Bank Branch
*
City
State
*
Zip Code
*
Type of Bank Account
*
Business Checking
Business Savings
Other
Bank Phone Number
*
Format: (000) 000-0000.
Terms and Conditions
*
Name - Authorized Representative
*
First Name
Last Name
Email
*
example@example.com
Date
*
/
Month
/
Day
Year
Date
Enter the message as it's shown
*
Submit
Should be Empty: