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.
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.
Dollar Amount Authorized:
Client City, State, & Zip:
Client Phone #:
Authorized Signer On This Account:
Authorized Signer's Email Address:
Bank City, State & Zip:
Bank Routing #:
Checking Account #: