DIRECT DEPOSIT Form for VIP Contest and Awards
Name as it appears on your bank account
*
First Name
Last Name
Email Address
*
If you have PARTNER STATUS use your VIP Email.
Is this a business or individual account?
Please Select
Business
Individual
Business name on the account
*
Is this a checking or savings account?
*
Checking
Savings
Routing number
*
Account number
*
Submit
Should be Empty: