Vendor Authorization AgreementVendor Authorization Agreement • September 28th, 2023
(hereinafter Vendor) and the State of Maine Department of Health and Human Services Maine CDC WIC Nutrition Program (hereinafter WIC Program). The Vendor and the WIC Program mutually agree to the terms and conditions contained in this Agreement.
VENDOR AUTHORIZATION AGREEMENT FOR DIRECT DEPOSITS (ACH)Vendor Authorization Agreement • August 9th, 2013
Eastern Oregon University CONTACT: Accounts Payable One University Blvd TELEPHONE NO.: 541-962-3664 La Grande, OR 97850 FAX NO.: 541-962-3889 E-MAIL ADDRESS: hmcrenroe@eou.edu
Vendor Authorization Agreement for Direct DepositsVendor Authorization Agreement • July 22nd, 2022
We hereby authorize Columbia County to initiate credit entries to our account, as listed below, in the financial institution named below and authorize the financial institution to credit the same to our account. This authority is to remain in effect until revoked by us in writing to Columbia County.
VENDOR AUTHORIZATION AGREEMENT FOR DIRECT DEPOSITS (ACH)Vendor Authorization Agreement • August 9th, 2013
ContractVendor Authorization Agreement • February 24th, 2021
VENDOR AUTHORIZATION AGREEMENT FOR ACH PAYMENTDirections• Type or print the information requested in Sections 1 and 2. Then sign, date, and return the form via email.• Any account changes must be reported to Houston County within 14 days prior to actual change. A payee must keep Houston County informed of any address changes in order to receive important information and to remain qualified for payments.Section 1 - Entity to Receive Direct Deposit Type of Transaction: Add Change Delete Name of Company OR Individual County Telephone Street Address City State Zip Contact Person Email 9-digit Federal Tax ID Section 2 - Financial Institution Authorized to Conduct TransactionFinancial Institution County Telephone Street Address City State Zip Type of Account Checking Savings9-digit Transit Routing/ABA Number Account Number at Above InstitutionWhereby we authorize Houston County to initiate credit entries to our account at the financial institution identified above and also debit entries, if
Maine CDC WIC Nutrition Program Vendor Authorization AgreementVendor Authorization Agreement • October 8th, 2019
(hereinafter Vendor) and the State of Maine Department of Health and Human Services Maine CDC WIC Nutrition Program (hereinafter WIC Program). The Vendor and the WIC Program mutually agree to the terms and conditions contained in this Agreement.
ContractVendor Authorization Agreement • February 24th, 2021
VENDOR AUTHORIZATION AGREEMENT FOR ACH PAYMENTDirections• Type or print the information requested in Sections 1 and 2. Then sign, date, and return the form via email.• Any account changes must be reported to Houston County within 14 days prior to actual change. A payee must keep Houston County informed of any address changes in order to receive important information and to remain qualified for payments.Section 1 - Entity to Receive Direct Deposit Type of Transaction: Add Change Delete Name of Company OR Individual County Telephone Street Address City State Zip Contact Person Email 9-digit Federal Tax ID Section 2 - Financial Institution Authorized to Conduct TransactionFinancial Institution County Telephone Street Address City State Zip Type of Account Checking Savings9-digit Transit Routing/ABA Number Account Number at Above InstitutionWhereby we authorize Houston county to initiate credit entries to our account in the financial institution our account identified above and also debit
VENDOR AUTHORIZATION AGREEMENT FOR ELECTRONIC FUNDS TRANSFER (Deposit)Vendor Authorization Agreement • January 29th, 2024
The City of Cape Coral is offering Vendors the opportunity to receive payments electronically. This free service enables businesses to receive payment by direct deposit and allows for faster receipt compared to a paper check.
VENDOR AUTHORIZATION AGREEMENT FOR ELECTRONIC FUNDS TRANSFERVendor Authorization Agreement • April 8th, 2008
ContractVendor Authorization Agreement • August 5th, 2020
VENDOR AUTHORIZATION AGREEMENT FOR ACH PAYMENTSI(we) hereby authorize Pontotoc County School District, hereinafter to initiate automatic credit entries, and if necessary, to initiate automatic debit entries* for adjustments for any credit entries in error to my (our) account identified below, and the financial institution named below to credit and/or debit the same to such account. FINANCIAL INSTITUTION Financial Institution: Branch - if applicable: Address: Routing Number **: Account Number **: Bank Telephone Number: Type of Account- Please check one Checking Savings This authorization is to remain in full force and effect until Pontotoc County School District has received written notification of its termination in such manner as to afford Pontotoc County School Distict and the Financial Institution a reasonable opportunity to act on it. VENDOR INFORMATIONVendor Name: Vendor Address: Email (required): Phone Number : Fax Number : Signature: Date: * Any funds adju
ContractVendor Authorization Agreement • February 24th, 2021
VENDOR AUTHORIZATION AGREEMENT FOR ACH PAYMENTDirections• Type or print the information requested in Sections 1 and 2. Then sign, date, and return the form with your Vendor package.• Any account changes must be reported to DCA within ten (10) days prior to actual change. A payee must keep DCA informed of any address changes in order to receive important information about benefits and to remain qualified for payments. Please refer to the application instructions, if applicable. Section 1 - Entity to Receive Direct Deposit Type of Transaction: Add Change Delete Name of Company OR Individual County Telephone Street Address City State Zip Contact Person Email 9-digit Federal Tax ID Section 2 - Financial Institution Authorized to Conduct TransactionFinancial Institution County Telephone Street Address City State Zip Type of Account Checking Savings9-digit Transit Routing/ABA Number Account Number at Above Institution Whereby we authorize DCA to initiate credit entries to our account in th
Vendor Authorization Agreement for Direct DepositsVendor Authorization Agreement • September 12th, 2019
We hereby authorize Columbia County to initiate credit entries to our account, as listed below, in the financial institution named below and authorize the financial institution to credit the same to our account. This authority is to remain in effect until revoked by us in writing to Columbia County.
VENDOR AUTHORIZATION AGREEMENT FOR ELECTRONIC FUNDS TRANSFERVendor Authorization Agreement • January 17th, 2023
The City of Cape Coral is offering Vendors the opportunity to receive payments electronically. This free service enables businesses to receive payment by direct deposit and allows for faster receipt compared to a paper check.
ContractVendor Authorization Agreement • February 24th, 2021
VENDOR AUTHORIZATION AGREEMENT FOR ACH PAYMENTDirections• Type or print the information requested in Sections 1 and 2. Then sign, date, and return the form with your Vendor package.• Any account changes must be reported to DCA within ten (10) days prior to actual change. A payee must keep DCA informed of any address changes in order to receive important information about benefits and to remain qualified for payments. Please refer to the application instructions, if applicable. Section 1 - Entity to Receive Direct Deposit Type of Transaction: Add Change Delete Name of Company OR Individual County Telephone Street Address City State Zip Contact Person Email 9-digit Federal Tax ID Section 2 - Financial Institution Authorized to Conduct TransactionFinancial Institution County Telephone Street Address City State Zip Type of Account Checking Savings9-digit Transit Routing/ABA Number Account Number at Above Institution Whereby we authorize DCA to initiate credit entries to our account in th
