E-Check Authorization | Great Lakes Fastening

Agreement of E-Check Authorization*

I agree to the Great Lakes Fastening e-check policy.

I, the below signed, authorize Great Lakes Fastening to initiate either an electronic debit or to create and process a demand draft against my bank account for each order that I place and confirm.
I acknowledge that the origination of ACH transactions to my account must comply with the provisioning of United States law.

Routing Number*

Account Number*

Account Type*

Signature

Name*

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