Professional Documents
Culture Documents
StudentOrganizationFinanceCenterDirectDepositFrom
StudentInformation:
Name:
Address:
City:
UIN:
Zip:
BankingInformation:
State:
Local#:
BankName:
Routing#:
Account#:
EmailAddressforACHNotifications:
WillthesepaymentsbeforwardedtoafinancialinstitutionoutsidetheUnitedStates?
Yes No
Ihavesignatoryauthorizationontheaboveaccount&herebyauthorizeWellsFargo,onbehalfofTexasA&MUniversityCollegeStation,toinitiateelectronicentriestocredit
myaccountasIindicateabove.Iacknowledgeresponsibilityforprovidingcomplete&accurateinformationontheauthorizationform&understandthatTAMUmaycontact
myfinancialinstitutiontoconfirmaccuracyofinformation.Thishowever,IfullyunderstandthatTAMUmustnotifymeonorbeforethesettlementdate&explainthereason
forthereversal.Ifurtherunderstandthatifchangesoccurinmyaccount,i.e.,switchingdepositfromcheckingtosavings;closingaccount,changingbanks,etc.Itismy
responsibilitytocontacttheStudentOrganizationFinanceCenterimmediately.
Signature:
PrintedName:
WhencompletedpleasereturntheformtotheSOFCoffice:TexasA&MUniversity,StudentOrganizationFinanceCenter,
MailStop1236,CollegeStationTX,778431236(rev07/2015)