Independent Contractor Direct Deposit Form
Fill out if you would like to elect direct deposit otherwise a check will be mailed to the address provided on your W-9
Full Name (as it appears with your bank)
*
First Name
Last Name
Your Email Address
*
example@example.com
Bank Name
*
Bank Routing Number
*
Bank Account Number
*
Account Type
*
Checking
Savings
Authorization
Xtreme Xperience is hereby authorized to directly deposit any amounts owed me into the above listed account. This authorization will remain in effect until I modify or cancel it in writing to accounting@xxspeed.com
Signature (Authorization)
*
Any Additional Information
Submit to Accounting
Submit to Accounting
Should be Empty: