Consultant Payment Method

Effective Date * / MM / DD YYYY
Choose Payment Method *
PayPal Email Account
Check Made Out To
Mail Check To
I authorize Bizooza LLC to deposit my pay
automatically to the account indicated below and, if necessary, to adjust or reverse a deposit for any payment entry made to my account in error.

This authorization will remain in effect until I cancel it in writing and in such time as to afford Bizooza LLC a reasonable opportunity to act
on it.
Name on Bank Account *
Bank Account Number *
Account Type *
Checking Savings
Routing Number *
Upload Copy of 'Voided' Check

Attach Files
Email *
Signers Name *
Draw your signature into the box below. *

Clear
Save my progress and resume later
Enter Your Email Address

A special link to complete your transaction will be sent to your email address.