Direct Deposit
Brand Name
*
As it will appear on The Grommet
Billing Name
If different
Billing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Do you have a US Bank Account?
*
I do have a US Bank Account
I do not have a US Bank Account
How do you wish to receive payment?
Direct Deposit
Check Payments
ACH Payments
US Banks Only
Bank Name
*
Bank Routing Number
*
0/9
Bank Account Number
*
Type of Account
*
Please Select
Business Checking
Business Savings
Personal Checking
Personal Savings
International Makers
Beneficiary Bank Name
*
Beneficiary Name (Account Name)
*
SWIFT or BIC
*
Account # or IBAN
*
Who should we contact if we have direct deposit questions?
*
First Name
Last Name
Contact Phone
Contact Email
*
Additional Information for The Grommet Accounting Team
Submit
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