GTJ Vendor ACH Registration

Notice

All payments to GTJ's vendor network are issued via electronic funds-transfer or ACH. Please fill out this form accurately and completely. Please allow up to 48 hours for processing. Please direct any questions or concerns to Accounting@gtjonline.com.

Submission Type *

New Vendor Set Up / Initial Registration
Replacement of Existing ACH Registration

Vendor Information

Vendor Business Name: *

GTJ Vendor ID: *

Name of Person Submitting Form: *

First

Last

Email for Contact Regarding this Submission: *

Best Phone Number for Contact Regarding this Submission: *

Banking Information

Name of Bank, Savings & Loan or Credit Union: *

Type of Account: *

Checking
Savings

Routing & Transit Number: *

Account Number: *

Do you have a copy of a cancelled check or bank spec sheet for this account? *

General comments:

Authorization

By filling out and submitting this form, I hereby authorize GTJ Consulting, LLC ("GTJ"), to initiate credit entries and to initiate, if necessary, debit entries and adjustments for any credit entries made in error to corresponding accounts. This authorization is to remain in full force and effect until GTJ has received written notification.

Authorization Acceptance *

By selecting yes; you have read and agree to the authorization statement above

Phone