Application for service 
ACH APPLICATION - Fillable PDF
(Type right into the form before printing)
Please complete the application online before you print and sign.
Completed Application can be faxed in with all Documnets.
Directions are included with the form.
After successfully completing the Application and Approval process, you will be sent a Contract, to be signed and returned. If you need assistance, please contact us at 800-979-2242. |
To speed the application processing, fax the completed application and ALL required documents to us at 877-548-4902.
Mail to:Application Processing
eCheck2000
PO Box 28
Arroyo Grande, CA 93421
