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Your Information:
*
First Name:
*
Last Name:
*
Email:
*
Phone:
Bank Account Information:
Account Type:
Checking
Savings
Date:
21-Sep-2023
*
Name on Account:
(As it appears on the check.)
*
Amount $
*
ABA (Routing) #:
Always 9 digits, between 2
symbols.
*
Account #:
Always ends with a
symbol. May have embedded symbols!
Check #:
Could be before or after Account No. (Optional, for your records.)
Enrollment Information:
*
Student's Full Name(s):
*
Payment is for:
Example:
"July Guitar lessons with Miss Sally"
Important Information!
Use full names & details to ensure
we credit your account properly!!!
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