Direct Payment Bauman Oil Distributors, Inc. Direct Payment Authorization Direct Payment Authorization By completing this form, you hereby authorize BAUMAN OIL DISTRIBUTORS, INC. to initiate electronic debit entries to your checking/savings account for payment of your invoices. You acknowledge that the origination of ACH transactions to your account must comply with the provisions of U.S. law. This authority will remain in effect until you have cancelled it in writing. Date* Please validate the current date.Name* First Last Please provide your First and Last name.Email Address* Please provide your email address.Financial Institution Name*Please provide the name of your financial institution.Account Number*Please provide your account number to be charged.Routing Number*Please provide the routing number of your financial institution.Financial Institution's City and State*Please provide the city and state your financial institution is located in.Submission Approval* By clicking this checkbox, I hereby approve ACH transactions for payments to Bauman Oil Distributors, Inc. Provide approval for the above information.