Accounts Payable Vendor Information

Vendor Direct Deposit Request Form

Please have future payments direct deposited to the following account:

Payee's Name:
Payee's Tax ID #:
Bank Name:
Bank Routing Number:
Bank Account Number:
Note: If you are unsure of your banking information, you may fax a copy of your check to the fax number listed below.
Requestor's Name:
Requestor's Phone:
Yes, please send an automated email notification to the following e-mail address:

Please either click on the "Submit" button to automatically submit your form, or print a copy and fax it to:
(505) 277-7699, attention: Elaine Friestman

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Vendor Direct Deposit Request Form

Please have future payments direct deposited to the following account: