Check Draft Authorization Form


I authorize Studio 1 to initiate funds from the client checking account as indicated below and to retain this information

for future transactions which may only be authorized by the account holder as shown below. I also authorize my depository financial institution to honor these transfers.

Invoice(s) #:


I have read and agree to all of the terms and conditions on this page.  I certify that I am the authorized signer for this checking account. I understand this is a binding agreement between Studio 1 and the person whose name appears above and that no signature will be on the printed check.


Check #:


Dollar Amount Authorized:








Client Name:




Client Address:




Client City, State, & Zip:




Client Phone #:




Authorized Signer On This Account:





Authorized Signer's Email Address:





Bank Name:





Bank Address:





Bank City, State & Zip:





Bank Routing #:





Checking Account #: