Agent Form and Agreement ACH Authorization - Step 3 of 4 Name on Bank Account * First Name Last Name Account Type * Checking Account Savings Account Bank Name * Routing Number * Account Number * By checking this box and clicking SUBMIT below, you understand that this authorization will remain in full force and effective until Vertical Alternatives is notified in writing at agents@verticalalternatives.com to revoke this authorization. * I Agree Redirecting to Step 4…If not redirected in 5 seconds, click this link.
