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Payee Information Request
Complete this form in order for Genora Systems to pay you. Please note payouts will be scheduled for the 1st and 15th.
First Name
*
Last Name
*
Phone Number
*
Personal Email Address
*
Street Address
*
Apt, suite #, building (optional)
*
City
*
State
*
*
Do you prefer to be paid through ACH or check?
*
Do you prefer to be paid through ACH or check?
A
ACH (Estimated Delivery: 1-2 Business Days )
B
Mailed Check (Estimated Delivery: 5-7 Business Days)
Bank Account Type
*
Bank Account Type
A
Checking
B
Savings
ACH routing number
*
Bank Account Number
*
Re-enter Bank Account Number
*
Submit
