Direct Deposit by ACH - Authorization Form

You can receive payment of funds designated to your registered charity as a direct deposit to your bank account by providing the following information.

Banking Information








Charity Information











For any questions concerning this form please email

You may also print off the above form and fax through to 770-200-2715.

Note: Once set-up is complete for ACH transfer, a test transaction for less than $1.00 will be debited and credited to your bank account.