Sequoia Woods Secure ACH Authorization Form

Sequoia Woods Secure ACH Authorization Form

This form authorizes monthly automatic ACH payments by providing your account information and account type.
Member Number
First Name
Last Name
Financial Insitution or Bank Name
Account Type
Account Number
Verify Account Number
Account numbers do not match
Routing Number
Verify Routing Number
Routing numbers do not match
By completing and signing this form, I authorize Sequoia Woods Country Club to initiate ACH debit entries to my bank account for member account charges and dues. I understand that debit amounts may vary based on usage, and that debits will typically be initiated on or about the 20th of each month for charges and dues from the prior month, subject to weekends, holidays, and processing schedules. This authorization will remain in effect until I notify Sequoia Woods Country Club in writing to revoke it.
Signature
Please sign to the left and click the Authorize ACH Payments button below.
Should be Empty: