Authorization Agreement for Electronic Funds Transfer (EFT) 2021-2022
To have your tuition/fee payments taken by ACH out of your bank account, please complete the following EFT Authorization Form and send a voided check into the office. If your banking information has not changed and is already on file in the office, it is not necessary to attach a voided check. However, we MUST have an authorized signature each year.  Payments will be deducted according to the schedule selected in your tuition agreement.

Please note: if you are choosing to pay tuition by check/cash or other means, you do NOT need to fill out this form.

Email *
Bank Information *
My Bank Routing Number: *
My Bank Account Number *
Is this a Checking or Savings Account? *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of St. Athanasius School. Report Abuse