I can now receive your monthly payment without you having to bother writing a check or mailing it. Because of federal law enacted in 1996 any business can submit for deposit a "bank draft". A bank draft is essentially a check which does not contain an endorsement. It is printed by a merchant after receiving either verbal or written authorization. By completing this form and pressing the submit button at the bottom of the page you are giving me permission to produce and deposit a bank draft.
I authorize Wm. E. Kreiling to prepare and then
deposit a bank draft, drawn upon my checking account
Bank draft shall be dated for:
Bank draft shall be for the amount: $
**Check number to use for bank draft:
Customer name:
Customer code:
**Important: Be sure not to write a check using the same check number as above. If your bank should receive more than one check with the same number they may charge you a small fee until the issue is resolved.
*Customer e-mail address
* e-mail address to be used only for confirmation purposes