Payment Authorization Client Name (required) Bank Account Number (required) Bank Name (required) Bank Routing Number (required) Check Number (required) (Numbers Only) Check Amount (required) Check Date (required) I authorize OnCore Leads to process an Automated Clearing House Network (ACH) payment with this bank information. Any bounced checks may be resubmitted without notice again through the ACH Network Pay CheckComposerClient Name Bank Account Number Bank Name Bank Routing Number Check Number Check Amount Check Date I authorize OnCore Leads to process an Automated Clearing House Network (ACH) payment with this bank information. Any bounced checks may be resubmitted without notice again through the ACH NetworkSubmit Form
