EFT - Tee Time Golf Products

PAYEE INFORMATION

First Name*

Last Name*

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Phone #*

Email Address*

Bank Name*

Address*

Routing #*

Account #*

PO/INVOICE #

AMOUNT*

*

I AUTHORIZE TEE TIME GOLF PRODUCTS TO ACCEPT FUNDS FROM THE ABOVE ACCOUNT NUMBER FOR A ONE TIME ONLY TRANSFER IN THE AMOUNT SHOWN ABOVE

AUTHORIZED SIGNATURE*

DATE*

You must ATTACH A VOIDED CHECK pre-printed with your name, address, and account number. Do not sign the check.*