Name on Bank Account *

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Account Type *

Checking

Savings

By checking this box and clicking SUBMIT below, you understand that this ACH authorization will remain in full force and effective until Teton Marketing Group is notified in writing at recruiting@tetonmarketinggroup.com to revoke this ACH authorization to make payments to the above account. All active clients require at least one ACH authorization on file or all residual payments will be placed on hold until an ACH authorization is on file. *

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