Banking Information Form

Organization Name(Required)

If you are not affiliated with an organization, type your name in this field.

Organization Address(Required)

Street Address Address Line 2 City State ZIP Code

Contact Name(Required)

First Last

Phone(Required)

Email(Required)

Bank Name(Required)

Bank Address(Required)

Street Address Address Line 2 City State ZIP Code

ABA Routing Number(Required)

Bank Account Number(Required)

Account Type(Required)

Checking

Savings

Account Verification(Required)

Max. file size: 100 MB.

Please provide a copy of a voided check or a letter from your bank providing confirmation of your account information.

Authorization(Required)

By typing your name below, you confirm that you are authorizing Community Foundation to begin transferring all future payments to the account mentioned above.