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Direct Deposit (AP)

Regent University Authorization Agreement for Direct Deposit

I hereby authorize Regent University and the institution named below to credit entries to my checking or savings account indicated below.

Please refer to the sample check below to assist in identifying your bank's routing number and your bank account number.

sample check

* Denotes required fields.

Banking Information Checking    Savings
Bank Name:
Routing Number:
Account Number:
Branch City:
Branch State:
*Full Name:
*Electronic Signature:
(simply type your full name)
*Last 4 of SSN:

If not submitted online, send to the Accounts Payable Office: Mail Drop: ADM 140

Questions? Call extension 4055 or 4056