ACH Debit Form
This form notifies Lob that bank account information has been added and verified
here
and that the Customer agrees and accepts the ACH payment terms provided in the
terms and conditions
.
*
indicates required
Name:
Email:
Comment:
Email Address
*
Title
*
Authorized Billing Contact
First Name
*
Last Name
*
Company Name
*
Lob Account ID
*
I am an authorized billing contact for my Company
I Confirm
Preferred format
HTML
Plain-text