FAX TO: C.Taylor 281-445-7257


CHECKING ACCOUNT CHANGE FORM


Please complete this section and attach a signed voided check to designate the account number to which your Visa/MasterCard transactions fees should be credited and debited

___________________________________   _______________________________________
Name of Deposit Bank                                         Address


 

 

 

 

 

SEND VOIDED CHECK

 

 

 

 



The undersigned is authorized to sign on behalf of the entity named below. Upon receipt of this document, please administrate the checking account change. I am aware the process usually takes 5 business day to complete. To expedite the request please fill out the form below.

Company Name: _________________________________________MID________________________

Authorized Signature: _X__________________________________Title___________

Name (please print)  _____________________________________ Date: __________


The changes to the checking account that are the merchant responsibilities are:

Amex : 800-528-5200 ext. 0
Discover: 800-347-2000 ext. 0
Telecheck: 800-733-1132
Authorize Net: 801-818-3311