Automatic Withdrawal Authorization Form - Renaissance Montessori 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. In Part A, select whether you are setting up a new checking account authorization or changing an existing one. Initial your choice.
  3. Attach a voided check as instructed. Use the information from the check to fill in the Routing Number and Account Number fields accurately.
  4. Complete the Account Holder’s Name and Name of Financial Institution fields based on your voided check details.
  5. In Part B, authorize Renaissance Montessori to withdraw your child’s monthly tuition by entering the amount and initialing each statement to confirm your understanding of the agreement.
  6. Sign and date the form at the bottom to finalize your authorization.

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