JULIA RADULIC - ACH AUTHORIZATION 2025

ACH AUTHORIZATION
Your Name as shown on Bank Account
Dealership Name
Position
Phone Number
Format: (000) 000-0000.
Date of Birth

MonthDayYear
Email Address
example@gmail.com
BANK INFORMATION
Bank Name
Account Number
Routing Number
9 digits
Account Type
I authorize Colonial Transfer, LLC to electronically transfer money to the above listed account via ACH. I also confirm all information listed coincides with my W-9 information and it is accurate and true.
Signature
Date

MonthDayYear
Date
ColonialTransfer.com | (866) 882-3110
Should be Empty:

ACH AUTHORIZATION