AUTHORIZATION AGREEMENT FOR PREAUTHORIZED PAYMENTS (ACH)
NORTHWESTERN COLLEGE DIRECT DEPOSIT AUTHORIZATION AGREEMENT
Company Name NORTHWESTERN COLLEGE COMPANY ID NUMBER 42-0698196
I (we) hereby authorize NORTHWESTERN COLLEGE to initiate credit entries, and if necessary, debit entries and adjustments for any credit entries in error to my (our) account [ ] Checking [ ] Savings account (select one) indicated below and the depository name below, hereinafter call DEPOSITORY, to credit same such account.
DEPOSITORY
Name_________________________________________ BRANCH_____________________
City____________________________________State_____ ZIP _______________________
Transit/ABA number_________________________Account Number____________________
This authority is to remain in full force and effect while employed at Northwestern College.
Printed Name(s)_____________________________________ID Number_________________
Date_______________________Signature__________________________________________
Complete and return to Business Office, Zwemer Hall with a VOIDED blank check.
REQUIRED OF ALL NEW EMPLOYEES AS OF 7/1/2006.
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