Form cover
Page 1 of 1

Vendor Accounts Payable

Full Name

Phone Number

Email

Business Name or LLC

Describe the service we're paying you for

Invoice

Do you have an invoice to submit?

How are we paying you?

Is this a Business Bank or a Personal Bank?

Is this a Business Bank or a Personal Bank?
A
B

Name of Bank

Bank Account Number

Bank Routing Number

All payments will be submitted via Direct Deposit (via ACH) on the 3rd of the month unless otherwise agreed upon.

ACH payments take 3-6 business days to process.

Do you agree to submitting the following information:

Do you agree to submitting the following information:
A
B

Please sign here to confirm the submission of the digital document.

Signature