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Camp Sweeney
Serving Children with Diabetes for More than 70 Years
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Direct Deposit
2024
Summer - First Session
Starts In
Authorization for Direct Deposit
This free service will deposit your check directly into your bank account.
Your Name as listed on your Bank Account
(Required)
Your Email
(Required)
Bank Account Type
(Required)
Checking Account
Savings Account
Bank Name
(Required)
Bank City and State
(Required)
Bank Account Number
(Required)
Your bank account number is NOT the same as the 16-digit number on your debit card.
9-Digit Bank Routing Number
(Required)
Consent
(Required)
I consent to have my payments and/or paychecks direct deposited into my Account.
I authorize Southwestern Diabetic Foundation Inc. / Camp Sweeney (the "Company") to send credit entries (and appropriate debit and adjustment entries), electronically or by any other commercially accepted method, to my account indicated above (the "Account"). This form authorizes the financial institution holding the Account to post all such entries. I understand that my paychecks, reimbursement checks, and payment checks will be direct deposited into the Account. I understand this authorization will be in effect until the Company receives written termination notice from the Account holder and has a reasonable opportunity to act on it.
Date
(Required)
Month
Day
Year
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