Direct Deposit Authorization Form

Direct Deposit Authorization Form
Please choose from ONE of the following options to complete the form:

Track Number OR Team Name OR Rider Name.
Track Number
Please enter your 4 digit Track Number if you are a track.
Team Name
Please enter your official Team Name as listed in the team results.
Rider's Name
Please enter the rider's name for any rider that is competing in a money class like Pro or Pro Am.
Payee Name*
Enter the Payee's Name
Social Security # or Taxpayer ID #*
Please enter your SSN or Tax ID #
Direct Deposit Notification Email Address*
example@example.com
Signer’s Name*
Signer’s Title*
Signer's Email Address*
example@example.com
Signer's Phone*
Banking Info
Bank Name*
Your track's bank.
Bank Phone Number*
Please enter a valid phone number.
ABA #*
Bank routing number.
Acct #*
Track's bank account number.
Finally, we will need a VOIDED check from the track's bank account. You can VOID the check and safely upload it using this file uploader.

Please upload a voided check from the track bank account.
Cancelof
Should be Empty: