ACH AUTHORIZATION FORM

Please complete this authorization

All information will remain confidential

The following entity has the authorization of TO-RISE LLC to make deposits into my account at the respective financial institution, listed below *
The following entity has the authorization of TO-RISE LLC to make deposits into my account at the respective financial institution, listed below
BANK UNITED
ROUTING NUMBER: 026014588 ACCOUNT NUMBER: 9853881898
Please notify our accounting department of any transaction by sending a detailed email to anam@2risesupplies.com
Client Name *
Client Name
Typing in your name acts an electronic signature
Date *
Date
Terms & Conditions: TO-RISE LLC - A late fee charge of 1.2% per month will be made on all invoices NOT paid by the payment terms.