VENDOR AUTHORIZATION AGREEMENT FOR ACH PAYMENTSVendor Authorization Agreement for Ach Payments • April 3rd, 2012
ContractVendor Authorization Agreement for Ach Payments • November 8th, 2022
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 INSTITUTIONFinancial 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
