Vantage Point eCheck Form


Client Name:   (Start typing in the box to see a list of clients)
Amount to Charge: $  
       
Account Type  
   
http://www.authorize.net/resources/images/checks.gif
Account Holder's Name:  
(exactly as it appears on the bank statement)
Bank Name:  
Bank ABA Routing Number:  
Bank Account Number:  
       
Invoice Number:  
Description:  
       
Email Address: