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Get And Sign Ach Vendor Payment Authorization Agreement Form

This authorization will remain in effect until the District has received written notification from me of its termination and the District has had reasonable opportunity to act upon it. Name of the Vendor/Payee Financial Institution Name Vendor/Payee Address Financial Institution Address City State Zip Code Vendor/Payee E-mail for Vendor Accounts Receivable Dept. City State Zip Code Financial Institution Representative Name Title Last four (4) digits of Social Security Number Last...

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