(enter information as it appears on one of your bank checks
- USA Banks Only)
Bank Phone: (include area code please)
Now using the following lower portion of a personal check as an example,
enter the information that appears at the bottom of your check.
Bank Routing or "Transit" Number:
Your Account Number.............:
Optional - Enter here any special comments or other information we need to
know such as if your ship to address is different than what is listed above.
OK - 1 more step. To confirm your order, checking account name,
email address and the correct numbers, we will ask you to enter the complete row of numbers
at the bottom of your check, your Internet email address and the exact name on your
check book, below . your entry here must be complete, and will act as your signature
confirming your order and intent.
Complete row of numbers at bottom of check:
To verify your email address, enter your Internet email address again here:
Verify your account with the actual full name on your check book here:
By choosing "Purchase" you authorize Tattoo Cycles to draft your
bank account for the "Total Cost" amount shown.
Total: $ 0.00
You acknowledge that you are the owner or authorized
signer on the account information entered in this form. Your order will be
processed through your local bank as a normal check and your account will
never be accessed electronically. After you have entered the information,
there is no need to send the check to us. Simply write the ordering information
in your checkbook register and void the check, just as if you had sent it in.