QB Services


This is an authorization agreement for ACH Payments (Bank to Bank payments) In Favor of Company Name: "QB Services" I authorize this above named Company and the financial institution listed below to electronically debit my Bank account to transfer the sum of the dollar amount $ in favor of  “QB Services”. 

 

Bank Details :

 

Bank Name :

 

Account Number :         Routing Number :

 

 

This authority is given for one-time transfer only as per the details stated above and will remain in effect until the transfer of money is complete.

 

Staple, in this box, a VOIDED check or deposit ticket for the account indicated above


 

 

 

 

 

 

 


 

Print Name :        Social Security Number (Last 4 digits) :  

 

 

December 30, 2025

 

 

Return this completed form to the Company named above.

Leave this empty:

Signature arrow sign here


Signature Certificate
Document name: QB Services
lock iconUnique Document ID: 2b093e984ece22a11b12f90b7c46cc31c15b4261
Timestamp Audit
May 22, 2025 5:32 pm CSTQB Services Uploaded by QB Services - info@qbbbooksusa.shop IP 103.158.136.137