Pay-By-Check

Fanasty Football 2000 Pool

Order Form

Only $10.00
To Begin Your Pool Picks, Please complete this form.

 CONVENIENTLY by CHECK, just fill out the following form
and click submit at the bottom of the form.
YOU WILL HAVE INSTANT ACCESS TO YOUR PICK SHEETS!

Or, you may complete, print and fax or mail the form to:

EASYWEB,INC/Fanasty Football
P O BOX 14334
Research Triangle Park,NC 27709
FAX- 919 572-9181
[email protected]

Company Name (optional):
Your First Name:
Your Last Name:
 Address:
City:
State or Province:
Zip or Postal Code:
Phone:
Fax (optional):
Email Address:

*We must have an email address to send your picksheet and acknowledge your order.

 
 

Check Information

All fields must be filled out EXACTLY as they appear on the check.
For help locating the information on your check, here is a sample check:

Example Check

The following fields are ALL REQUIRED!

Account Holder's Name
on the Check 
Check Number
(record this in your check book)
Name of Bank
City and State or Province
where Bank is located
Fractional ABA number 
(for USA banks only)
 looks like a fraction
9 digit Bank Routing 
or Transit Number
Your Account Number
(include spaces and hyphens)
Amount of Check
(All funds are US Dollars)

I authorize EASYWEB to use Checker software to print a check on my bank for the above selected item in the amount shown.( $10.00 for 1 play ) I understand that the check will show up just like any other check on my monthly bank statement. I also authorize you to draft my account electronically for the face amount of this check AND appropriate returned check fees ($25.00) if the check is returned unpaid.
YOUR ORDER WILL NOT BE PROCESSED IF THIS LITTLE BOX IS NOT CHECKED!

Please review to make sure the form is complete and accurate.
*NOTE that there will be a $25 charge for returned checks.

Accept Checks Online


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