Ach Authorization

Name(Required)
First Last
Email(Required)
Account Holder Name
This needs to match the name on the Bank account
Routing Number(Required)
The first set of digits on the left side of a check
Account Number(Required)
Confirm Account Number(Required)
ACH Authorization(Required)
I agree to the ACH authorization for payment of invoices.
I agree to allow Lucent Design Co. to process electronic payments via ACH Direct Debit from my bank account. For recurring payments, I authorize them to debit my account until I cancel. For one-time invoices, I will provide written authorization by replying to invoice email notifications.
To confirm your account information, we may require account verification via two micro deposits made to your account after adding your account to our system.

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