WP E-Signature by Approve Me - Sign Documents Using WordPress -

Hello , Thank you for submitting your bank information, we will be enrolling you in our US Bank EFT system.

Name:

Email:

Phone Number:

Address:

Bank Name:

Bank APA Routing Number:

Bank Account Number:

Bank Account Type:

I, the undersigned, agree the information provided is accurate and complete as of

Leave this empty:

Your legal name

Your email address

Please Confirm full name and signature.

Draw your signature with your mouse, tablet or smartphone Clear

I agree that I am and I agree this is a legal representation of my signature for all purposes just the same as a pen-and-paper signature

I agree that I am and I understand this is a legal representation of my signature

Timestamp

Audit

January 18, 2024 2:37 pm PDT

{{gravity-field-id-17}} - EFT - Traveler Bank Account Confirmation Uploaded by Galina Tolle - galina@nrhp.org IP 97.92.104.242

January 23, 2024 11:22 am PDT

Ann Murdoch - ann@nrhp.org added by Galina Tolle - galina@nrhp.org as a CC'd Recipient Ip: 134.197.230.125

February 6, 2024 12:33 pm PDT

Ann Murdoch - ann@nrhp.org added by Galina Tolle - galina@nrhp.org as a CC'd Recipient Ip: 134.197.230.125