The Baumgardner Group

Authorization for Direct Deposit - Vendor Form

This authorizes The Baumgardner Group (Guthrie Glass & Mirror, Inc, Baumgardner Finishings Company LLC, Palermo-BFC, Baumgardner Central Services) to send credit entries (and appropriate debit and adjustment entries), electronically or by any other commercially accepted method, to my (our) account(s) indicated below and to other accounts I (we) identify in the future (the "Account" This authorizes the financial institution holding the Account to post all such entries. We also understand that, in the event of discounts offered, there may be a one business day delay on ACH deposits appearing in our bank account.
Vendor Name*
Vendor Signature*

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Date*

MonthDayYear
Date
Account Info Account #1 Type (check one): Checking
Type a question*

CheckingSavings
Bank Routing ABA*
Account Number*
Email Address to Receive Receipt*
example@example.com
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