Bank Account Registration and ACH Authorization

This Registration and Authorization form is to be completed by Girl Scouts of Northeast Texas Troops/SU upon being approved by GSNETX, and:

Bank Information

*Account Type

Checking

Savings

Origins

*Account Status

New Account

Update Existing Account

*Bank Name

*Routing Number

*Confirm Routing Number

*Account Number

*Confirm Account Number

Account Information

*Troop Number

*Service Unit

Bank account registration requires two (2) unrelated signers that have passed background checks.

Signer on the Bank Account

*First Name

*Last Name

*Volunteer Position

*Email Address

*Confirm Email

*Phone Number

Signer on the Bank Account

*First Name

*Last Name

*Volunteer Position

*Email Address

*Confirm Email

*Phone Number

Acknowledgements

By completing this form, you acknowledge that:

You are an authorized signer on the Troop/SU bank account.
The Troop/SU account is set up using GSNETX council tax ID.
You accept responsibility for depositing sufficient funds in the Troop/SU bank account to cover ACH transactions at least 3 business days before the transaction is due to occur based on GSNETX’s Product Sales guidelines and processes.
You authorize GSNETX to repeat ACH transactions that fail for any reason.
Any monies due to your Troop/SU from GSNETX will be credited to your bank account via ACH transaction.

*Signature

Signed Wednesday, October 9th, 2024 at 01:46:26 pm

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