ACH Payment | Indy Chamber-皇冠电子下载app

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Rapid Response Hub Has your business been affected by COVID-19? Visit our Rapid Response Hub for resources to help navigate the disruption.
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Movie Night! The Indy Chamber’s Central Indiana Women’s Business Center and the Hispanic Business Council bring you an incredible lineup of speakers for the first Conexión event of 2022. Stay tuned for additional details and registration information; coming soon!
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Rapid Response Loans BOI offers Rapid Response Loans for businesses affected by the COVID-19 pandemic.
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Company/Organization*
Name of Person Submitting Payment*
First Last
Email*
Phone*
Invoice Number
Reason for Payment*
Payment Total*
Select Account Type*
I (we) hereby authorize the INDY CHAMBER to initiate credit and, if necessary, debit entries and adjustments for any credit entries in error to my (our):
- Checking Account
- Saving Account
Financial Institution*
I (we) acknowledge that the authority will remain in effect until I have (or either of us) cancelled in writing and that the origination of ACH transactions to my (our) account must comply with the provisions of U.S. law.
Financial Institution Branch
Address*
City State / Province / Region ZIP / Postal Code
Routing Number*
Account Number*
Full Name of Authorized Submitter*
The authorization is to remain in full force and effect until the INDY CHAMBER has received written notification from me (or either of us) of its termination in such time, and in such manner as to afford the INDY CHAMBER and the financial institution a reasonable opportunity to act on it.
Verify Full Name of Authorized Submitter*
Please enter your name again to verify the authorization of this ACH transaction.

Set Up ACH Payment