Thank you for your application we will contact you shortly. If have any questions or concerns please contact our office at 732.323.8300 (If you have not uploaded a copy of a check, please fax your voided check to 732-372-0903 or Email to email@example.com)
Credit Check Authorization: By signing below, I hereby authorize CheckAlt Payment Systems to store and/or disclose any information on this application and any other documentation obtained from either my business or any other consumer reporting agency.
ACH Authorization: I authorize CheckAlt Payment Systems to debit the bank account listed on this agreement or any other agreement between my business and CheckAlt Payment Systems or any other bank account my company has with any other bank, via ACH, for any amount I owe CheckAlt Payment Systems or under any contract, note, agreement or guarantee. In the event CheckAlt Payment Systems demands sum due, or such ACH does not fully reimburse CheckAlt Payment Systems for the amount I owe, I will immediately pay CheckAlt Payment Systems in full.
If you do not upload a voided check, you will need to send it by email to: firstname.lastname@example.org or Fax to: 732.372.0903 in order to process your application.
Are you sure you want to proceed without uploading?