DIRECT DEPOSIT INFORMATION FOR ACTIVE DDI
DRIVER-CLIENTS
Please submit the form below for review by your
local DDI representative.
Full Name
(First & Last):
Marketing Firm /
Office:
Bank Name:
Account Type:
ACCOUNT
INFORMATION
Please be
sure this information is accurate
Account Number:
Routing Number:
(must be 9 digits):
PERSONAL CONTACT INFO
Address:
City, State, Zip:
Telephone (Primary):
Telephone (Alternate):
Last 4 digits of SSN/Tax
ID:
Email
Address:
PLEASE DOUBLE CHECK FOR
ACCURACY BEFORE SUBMISSION
Authorization:
I authorize Delivery Drivers, Inc.
located at 17900 Sky Park Circle, Suite 210, Irvine, CA, 92614(hereafter referred to as “Company”) to direct deposit of
funds to my account with the financial institution listed above.
If funds to which I am notentitled
are deposited in my account, I authorize the initiation of a
correction (debit) entry electronically or by any other
commercially accepted method. I understand that the authorization
may be rejected or discontinued at any time. If any of the
below information changes, I will notify DDI immediately and
complete a new authorization agreement by Friday of the given
week. If the direct deposit is not stopped before closing an
account, a rejection fee of $5 will be assessed and funds payable
to you will be returned for distribution. This will delay
your check.
This
authorization will be in effect until the “Company” receives a writtentermination notice from the driver
listed above:
