Wellkind

Direct Deposit Authorization

Welcome to WellKind School for Early Learners.

Payments are made every other tuesday and can be made in check or direct deposit.

To enroll for direct deposit please fill out authorization below.

Name and Last Name

Telephone

Authorization

I authorize WellKind School for Early Learners to deposit to my bank account indicated below. I understand that I am responsible for verifying with my bank that the deposit has been credited to my account and accept full liability in the event funds are withdrawn or checks clear prior to the actual transfer of funds by WellKind School for Early Learners.

Please Check One

Bank Name

Account Type:

Account Number

Routing Number

Deposit Distribution