ACH_Form_(Rev._2011)_(12)_(4)_(2)_(1)_(1).pdf

This document is an Authorization Agreement for Automatic Deposits (ACH Credits) issued by the Washington Convention and Sports Authority (WCSA). The form is designed for a business to authorize the WCSA to initiate electronic credit and debit entries to a designated bank account, with the ability to make corrections for any entries made in error. The agreement allows for ongoing automatic financial transactions between the company and the WCSA, with the option to select either a checking or savings account for these transactions.

The document requires the company to provide key financial and contact information, including the company name, EIN/Tax ID, bank account details (bank name, branch, transit/ABA number, and account number), and contact information for notification purposes. The authorization remains in effect until the WCSA receives written notification of termination, and the company is instructed to attach a voided check with the completed form. The form provides spaces for the company representative's name, title, email, and signature, ensuring proper authorization and documentation of the electronic banking arrangement.