Banking Details for Payroll

Banking Details for Payroll
Payee's Name

First NameLast Name
Payee's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Payee's Bank
Payee's Bank Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Branch
Payee's Account Number
Payee's Account Type
I/we, hereby confirm the information completed above is correct and that I am the authorised person to
receive funds to be transferred. Creative Brands & Concepts Ltd shall not be held responsible for any errors or
omissions in the information provided, nor for any consequential transfer of funds to any account which is
incorrect.
Signature

Clear
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