Bank Account Information
We utilize all available security measures to safeguard your personal information.
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What's your legal name? *

Your legal name is the name that identifies you for legal, administrative and other official purposes.
 
What's your preferred first name? *

 
What's your mobile telephone number? *

 
What type of bank account? *

Must be a checking or savings account.

 
What's the name of your bank? *

 
Routing number? *

 
Account number? *

 
What name or names are on the account? *

Thanks for giving us your bank account information. We'll process your payment within 24 hours.
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