If you are a corporate vendor for TMLT and its partner companies whose services or products we purchase and you would like to receive payment by electronic funds transfer, please fill out the form below and click the "submit" button. Your payment will be deposited directly into your bank account.

If you have questions, please contact an accounts payable representative at 800-580-8658.

* — denotes a required field.

Authorization Type:

New Authorization Change Authorization Cancel Authorization

Vendor Information:

* Vendor Name:
* Address:
* City:
* State:
* Zip Code:

Bank Information:

* Bank Account Type: Checking Account     Savings Account
* First Name on Account:
* Last Name on Account:
   Bank Name:
* Bank Routing Number:
* Bank Account Number:

* Contact Email:
* Confirm Contact Email:
Re-enter email address — DO NOT COPY & PASTE
* Contact Phone Number:
10 digits only — ##########

Additional Comments:

(Maximum characters: 500) - You have 500 characters left.

Legal Disclaimer
I am signing up for electronic funds transfer. I agree that TMLT and partner companies may automatically deposit to my bank account in the amount of my submitted invoice. I can cancel at any time by calling, writing, or submitting electronic cancellation request to TMLT and partner companies. I agree that TMLT and partner companies or my financial institution can cancel electronic funds transfer for any reason, at any time, with or without prior notice to me. I acknowledge that the origination of these charges to my account must comply with U.S. law. I agree that this agreement remains in effect until canceled by TMLT and partner companies, my financial institution, or me.