ACH TERMINATION Form
Thank you for using the ACH system. In order for you to terminate your scheduled payments, please complete this form in its entirety.
Please enter your full name
Student #2 Name
Student #3 Name
Please enter your email address
Please enter the best phone number to reach you during business hours.
Name of Bank or Depository*
Please enter the name of your bank or depository.
Bank ABA or Transit #*
Please enter the ABA or Transit# here. It is typically found on the lower left corner of your check. Verify the number is correct by calling your bank.
Bank Account Number*
Please enter your bank account number here.
Please choose your Account Type
By typing my name below, I authorize Grace Brethren Schools to cancel my existing ACH plan.
Please send a confirmation email to the address below*: