Common Contracts
1 similar Ach Authorization Agreement contracts
ACH AUTHORIZATION FORMAch Authorization Agreement • October 15th, 2015
VENDOR INFORMATION Vendor’s Name Phone Number Email Legal Address(Street, City, State, Zip) Contact orRepresentative’s Name ACH Status Start Change VENDOR BANK INFORMATION Account Holder's Name Account Number ABA/Routing Number Bank Name Bank Address(Street, City, State, Zip) Branch Phone Number Account Type(select only one) Checking Savings Reason Bank Account Name does not match Vendor Name (type in the space below if applicable) AUTHORIZATION AGREEMENT By printing and/or signing my name via handwritten or electronic signature I hereby confirm my authority to issue these instructions and to authorize Universal Music Group to initiate automatic deposits via ACH to my account at the financial institution named below. You consent to and direct us to obtain a consumer report or other information, from time to time, in connection with the payments we make to you. I also authorize Universal Music Group to make withdrawals from this account in the event that a credit
