Form
Location(s)
*
Rice Village
Upper Kirby
Post Oak
Heights
Milton's/Lee's
Maximo
Employee Name
*
First Name
Last Name
Bank Name
*
Account Type?
*
Please Select
Checking
Savings
Account Number
*
Routing
*
Direct Deposit Form Upload
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Store Email
*
example@example.com
Manager Initials
*
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