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ACH Wire Request Form From Vendors

Fastlink Computer Co. is requesting that Full Potential Solutions, Inc. begin making payments to their China Banking Corporation account ending in 1001-00-00071-1. The contact is Cristina Parra who is authorizing the payment setup and can be reached at (+63) 977-130-9018. Full Potential Solutions is asked to email the completed form and bank documentation to [email protected] to finalize the vendor payment setup.

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Harvey Balce
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272 views

ACH Wire Request Form From Vendors

Fastlink Computer Co. is requesting that Full Potential Solutions, Inc. begin making payments to their China Banking Corporation account ending in 1001-00-00071-1. The contact is Cristina Parra who is authorizing the payment setup and can be reached at (+63) 977-130-9018. Full Potential Solutions is asked to email the completed form and bank documentation to [email protected] to finalize the vendor payment setup.

Uploaded by

Harvey Balce
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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FULL POTENTIAL SOLUTIONS, INC.

(ACH) REQUEST FORM

Vendor Information:

Vendor Name: Fastlink Computer Co.

Remittance Address: #57 P.Tuazon Blvd., San Martin De Porres Cubao

Remittance City: Quezon City State: Metro Manila Zip Code:


726-9129 / 413-9396 /
Contact Name: Cristina Parra Phone #: (+632 ) 413-9424 / 584-1266(F)

E-Mail Address: [email protected]

Banking Information:

Vendor’s Bank Name: China Banking Corporation

Bank Address:

Bank’s City: State: Zip Code:

Bank Contact Name: Phone #: ( )

ABA Routing #: NA Account #: 1001-00-00071-1

SWIFT Code #: CHBKPHMM


_____________________

Account Type Checking Savings


(please check only one)

Vendor’s Authorization:
Please sign below to confirm that you are authorizing FULL POTENTIAL SOLUTIONS, INC. to begin
transferring payments for your invoices to the account mentioned above.

Cristina Parra Account Executive


Signature Title

( +63 ) 977-130-9018
Phone Number Date

Please submit the completed form and a copy of a voided check or a letter from your bank providing
confirmation of your account information. Email the form to [email protected]

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