ACH Form

VALOR MARKETING

To make billing simple and easy, we have all of our customers set up on something called “ACH” or automatic billing. What this allows us to do is once a month, (on the 15th of every month for marketing services and on the 1st for website maintenance and support services) automatically debit your bank account for the services that you have agreed to.

In order to keep our costs low, one of our strategies has been to automate our accounting/billing services as much as possible. You will not be billed without your knowledge or permission. Three days before your account is debited, you will be sent an email to alert you to this pending activity.

Also, after your account is debited, you will be sent an email statement for your records that can serve as a paid invoice or receipt. If you have any additional questions, please don’t hesitate to reach out to us.

Customer Name*
First Last
This should be the primary contact for the business contact listed on the account.
Email Of Person Listed On Account.

Please note, this email address will receive the receipts and notices of billing.
Customer Phone*
What is the contact phone number for the person listed on this account?
Customer Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Business Name*
Business Phone*
Business Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
What is the name of the bank associated with this account? Do NOT shorten the name of the bank, please list the full bank name*
What is the routing number for the bank account you are setting up for automatic billing?*
This is typically a NINE digit number located on the bottom of one of your checks. For assistance, please call your Valor Rep.
What is the account number for the bank account you are setting up for automatic billing?*
Please check the box or boxes on the services you are setting up ACH services for.*
- SEO
- SEM / Online Display
- Social Media Management Services
- Website Maintenance & Support Services
- Other:
By clicking "Yes", you are agreeing to allow Valor Marketing to automatically bill your checking account as set forth in your Valor Marketing agreement(s).*
- Yes
- No