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.
  • MM slash DD slash YYYY
    Please validate the current date.
  • Please provide your First and Last name.
  • Please provide your email address.
  • Please provide the name of your financial institution.
  • Please provide your account number to be charged.
  • Please provide the routing number of your financial institution.
  • Please provide the city and state your financial institution is located in.
    Provide approval for the above information.