TEXAS PTA Authorization Agreement
for Automated Clearing House Transactions (ACH Credits)
If you need assistance, please email finance@txpta.org
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PTA Information

Bank Information

Submitter Information

PTA Role *

Automated Payment Program & JoinPTA.org Agreement

Automated Payment Program Participation *
I hereby authorize Texas PTA to initiate credit entries and, if necessary, to initiate debit entries and adjustments for any credit entries in error, to the named PTA Checking Account indicated below and the depository named below, to credit and/or debit the same to such account. *
I understand that this authority is to remain in full force and effect until Texas PTA has received written notification, to finance@txpta.org, from an officer of the named PTA of its termination, in such time and in such manner as to afford Texas PTA and the named PTA a reasonable opportunity to act on it. *
JoinPTA.org Participation *

Signature *
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