
CHECK-BY-PHONE PAYMENT AUTHORIZATION FORM 1. Please complete this form and fax to; 1-800-472-2281 (PA), 1-888-226-9046 (CA), 1-800-344-5823 (FL), 1-800-365-4914 (VA) 2. Upon receipt of this authorization.
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How to fill out the Check By Phone Authorization Form online
This guide will walk you through the process of completing the Check By Phone Authorization Form online. By following these steps, you will ensure that your checking account is securely registered for payments and discounts.
Follow the steps to accurately complete the form.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Begin by filling out your billing information, including your bill-to name, year established, address, state, city, ZIP code, telephone, fax, and accounts payable contact.
- Next, provide the shipping information, including the ship-to name, address, state, city, ZIP code, telephone, fax, and contacts for accounts payable.
- Complete the bank reference section by filling in your bank's name, address, city, state, ZIP code, local contact, and telephone number, as well as your account number.
- In the trade references section, list three individual contacts by filling in their names, addresses, states, cities, ZIP codes, telephone numbers, and account numbers.
- Provide owner or officer information, including the name, title, home address, city, ZIP code, home telephone number, and social security number for each person listed.
- Review all information to ensure accuracy, then sign and date the form to indicate your authorization for Service Champ to charge your checking account.
Complete your Check By Phone Authorization Form online today to benefit from seamless transactions and discounts.
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