Home          1.800.492.2794          eftnetwork.com        
About Web Checks Benefits How Easy Is It? How It Works Online Demonstrations
 
CUSTOMER INFORMATION
 
  Click here to automatically fill in the fields for this demo.
 
 Debtor Number*  
  First Name*  
  Last Name*  
  Email  
  Phone  
   
 
 
PAYMENT INFORMATION
 
  Click here to automatically fill in the fields for this demo.
 
Amount*  
  Bank Name*
  Bank Routing*
  Bank Account*
 
 
Name on Account
Street Address
City, State, Zip
Phone
Email Address

 



Date : 9/25/2008

Check #001       


Pay to the order of  ABC Agency

 Amount :
Bank Name

Routing # Account #      No Signature Required





(This page is for demonstration purposes only. No payment transactions are actually being made.)

 

    ©2008 EFT Network, Inc.