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Vendor Details

Company Address
(Format: XX-XXXXXXX)
Main Point of Contact (POC)

ACH Information

Payment to vendor will be processed via Electronic Funds Transfer (ACH)
Bank's routing number
Bank Account Number
This number must match the Account # above.

I agree:

By signing below, I attest that the information provided herein is true and correct. I authorize Chateau Luxe Banquet & Conference Center to pay invoices via ACH to the Entity and account information I provided above. I understand that I must notify Chateau Luxe in writing of any changes to my account information immediately, and Chateau Luxe is not responsible for errors due to incorrect routing/account information I provide.
Clear Signature