Check Order Form

Settlers House - check payments

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Instructions	Please do not use this form (Personal Check) within two weeks of arrival date. Use an actual check # from your checkbook and discard the original check. Fill in all the information on the check. That's it. If you prefer instead, you can make out a check. Take a close up photo of it and email it to me. Or scan it and fax it to me but please call first before faxing.
Once received I will get you on the calendar, send you a confirmation of payment, directions to the rental and/or a request for more information. Ninety percent of the time this will all happen within a few hours or less. But if I am occupied with something else confirmation may take longer.

By submitting this form, you are giving C&W Enterprises permission to draft a check on your checking account, on your behalf "No Signature Required" in the amount listed directly above this box. Verification Code: Instructions Javascript must be turned on for the Save button to work
Name:
E-Mail:
Company:
Mailing Address:
City, State, Zip:	,
Phone:
Settlers House Rental Details: Dates of reservation? Number of adults & children? Pets? Etcetera.
Payment Type	Online Check
Online CHECK Info (USA only) *Please use the check at the right* *to complete the information below.*	*The sets of numbers are not always in this order
Name On Check	("A" from above)
Address on Check:	("A" from above)
City / St / Zip on Check:	("A" from above)
Bank Name:	("B" from above)
Bank City & State:	("C" from above)
Check Number:	("D" from above)
A.B.A. Fraction:	("E" from above)
Routing Number (9 Digits):	("F" from above)
Account Number:	("G" from above)
All Numbers From Bottom of Check: (see instructions to right) This is Redundant, but it will insure accuracy.
Amount of Check: