ACH Invoice Payment Authorization

Authorized Club Payment Contact (your information)

First Name

Last Name

Phone

Snowmobile Club

County

Snowmobile Club

Invoice(s) to Pay

YOU MUST HAVE A PAYABLE INVOICE WITH INVOICE # TO PROCEED.

Invoice #

Invoice Amount $

Invoice Item(s) Description

CONFIRM PAYMENT (REQUIRED!)

I authorize VAST finance manager to deduct funds from the ACH Bank account on file for the invoice(s) in the amount(s) listed above.

1. YOU MUST GO TO THE NEXT PAGE OF THIS FORM TO SIGN.

2. YOU WILL THEN GET AN EMAIL WITH A LINK THAT YOU MUST CLICK TO CONFIRM YOUR SIGNATURE.

THESE TWO STEPS MUST BE DONE TO CONFIRM YOUR PAYMENT!