Payments by On-Line Check

Payment Information

On-Line Check Payments

Name on Check:

Street Address:

City,State,Zip:

Tel:

Bank Name:

Bank Address:

City,State, Zip:

Bank Routing Number:

(9 digits)

Your Account Number:

Check Amount:

Check Number:

Additional Comments

Additional Comments

BY SUBMITTING THIS ORDER, I am authorizing Events Unlimited. Inc. to draft a check on my bank account for the amount I have indicated. I understand that the check will appear on my monthly bank statement, and that an $18 returned check fee may be charged if my account has insufficient funds.