ACH Authorization

ACH AUTHORIZATION
Fill this online form and sign with an electronic signature
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ISHA TRAVEL INC. (company)
101 Pecan Valley Dr., Irving, TX 75063
Phone 469-524-8554 / 773-524-0043
E mail: info@isha-travel.com Web:http://www.isha-travel.com
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AUTHORIZATION AGREEMENT FOR AUTOMATIC WITHDRAWALS (ACH DEBITS)

* Indicates required field

I (We) hereby authorize Isha Travel Inc. (hereinafter called "Company") to initiate debit entries and to initiate, If necessary, credit entries and adjustments for any debit entries posted in error, to my (our) X checking account (Select one) indicated below. Additionally, I (We) authorize the Financial Institution named below to accept debit and/or credit entries initiated by BB&T, ABA # 111017694 to same account. *

First

Last

for the payment of travel/tour & miscellaneous services of myself and/or family members:

Passenger names *

Bank Name *

Bank Account # *

Bank Routing # *

in the amount of: (USD) *

Account Holder Address: *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

ID/Drivers License Copy *

Max file size: 20MB

Void Check Copy *

Max file size: 20MB

Signed (Bank Account Holder Name): *

Date: *

Submit

ACH AUTHORIZATION FORM

For Lowest Fares,
Instant Confirmations
&
Guaranteed Seats

Email:
info@isha-travel.com

Online:
www.isha-travel.com

ACH AUTHORIZATION FORM

For Lowest Fares,Instant Confirmations&​Guaranteed Seats

Email:info@isha-travel.com

​​Online:www.isha-travel.com

For Lowest Fares,
Instant Confirmations
&
Guaranteed Seats

Email:
info@isha-travel.com

Online:
www.isha-travel.com