Fill out your check and copy the information to this form. -
Required fields are bold.
A $10.00 ( + S&H )
bank draft will be processed and authorization sent to your email address.
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| Email address |
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| Routing fraction: |
If you see 123-45 over 6789 just use
a "/" and enter: 123-45/6789 |
| Account Number: |
If you are using a check rather than a bank MICR line specification,
just leave this blank. For a bank MICR line specification, enter and x for
each place where the account number appears in the MICR line below.
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| Check Number: |
If you are using a bank MICR line specification rather than a check,
just leave this blank and enter c for each place where the check number appears in the MICR line below.
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| MICR Line: |
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For  just
enter &, T, or shift+7
For  just
enter $ or shift+4
For just
enter / or U
For  just
enter -
For spaces, just enter B or press the space bar. Be sure to enter the correct number of spaces. |
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Take a check from your checkbook and fill it out just as you normally would.
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Copy the information tagged on this picture from your check to this form.
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Click on the "Submit" button below. Your bank account will be drafted for the order amount.
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