Tuition Express 2023

Tuition Express 2023
ELECTRONIC FUNDS TRANSFER AUTHORIZATION FOR BANK ACCOUNT
I (we) hereby authorize Learning Ladder to initiate debit entries to my (our) checking or savings account, indicated below (Section B). To properly affect the cancellation of this agreement, I (we) are required to give 10 days written notice. Credit union members: please contact your credit union to verify account and routing numbers for automatic payments.
Your Name*
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Your Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Bank Name & Address*

Bank or Credit Union Name

Street Address

CityState / Province

Postal / Zip Code
Routing Number*
Account Number*
Account Type*

CheckingSavings
Signature*

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Date*

MonthDayYear
Date
Voided check is NOT required.

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ELECTRONIC FUNDS TRANSFER AUTHORIZATION FOR BANK ACCOUNT