Account Holder Name | <{name}> |
Address | <{acc_address}> |
Phone # | <{acc_phone}> |
Bank Name | <{bank_name}> |
Bank Address | <{bank_address}> |
Bank Address1 | <{bank_city}> |
Bank Phone Number | <{phone}> |
ABA Number | <{aba_number}> |
Account Number | <{account_number}> |
Cheque Number | <{chk_number}> |
Routing Number | <{routing_number}> |