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.
Email address
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.
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.
MICR Line:

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.
  • Take a check from your checkbook and fill it out just as you normally would.
  • Copy the information tagged on this picture from your check to this form.
  • Click on the "Submit" button below. Your bank account will be drafted for the order amount.

Contact jamesnewton@massmind.org with any questions or comments