Downloadable forms
ACH - Customer Authorization Agreement
for Preauthorized Payments
Please print form and fill out completely. ACH cannot
be implemented without your signature. Include a voided check. You may
fax the completed form and voided check to 817.588.6477 or submit by
mail to:
Dyck O'Neal, Inc.
Attn: Payment Processing
PO Box 13370
Arlington, TX 76094
Download (PDF format)
Letter
of Authorization to Speak with Third Party
Please print form and fill out completely. Fax the
form to the appropriate office.
Arlington fax:
817.588.6477
Addison fax: 972.661.3748
Download
(PDF format)
Confidential
Financial Statement
Please print form and fill out completely. Fax the
form to the appropriate office.
Arlington fax:
817.588.6477
Addison fax: 972.661.3748
Download (PDF format)
Authorization and
Consent to Electronic Communication
Please print form and fill out completely. Fax the
form to the appropriate office.
Arlington fax:
817.588.6477
Addison fax: 972.661.3748
Download (PDF format)
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