ACH Authorization
ACH Authorization (Page 1 of 1)

(Fields marked with * are required.)
MAKING END$ MEET
PAYMENT AUTHORIZATION
VIA AUTOMATED CLEARINGHOUSE (ACH) TRANSFER
Authorization
I authorize Making End$ Meet to collect from checking account as specified below.

I acknowledge that the origination of ACH transactions to my account must comply with U.S. law.

I understand that, by any means of verbal or written contact I choose, I may revoke this authorization at any time.
First Name *
Middle Initial
Last Name *
Frequency *
Once
Recurring Weekly
Recurring Monthly
Amount *
Transaction Date (if monthly)
1st
5th
10th
15th
20th
25th
Date of First Transaction *
Name of Bank or Credit Union *
Branch (if applicable)
City *
State *
Zip
9-Digit Routing Number *
Re-enter Routing Number for verification *
Account Number *
Re-enter Account Number for verification *
Today's date *
Approval *
Reminder
Print or PDF this page for your records.

Also, please be sure to update your accounting records. For example, if you use QuickBooks, create a Memorized Transaction.

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