Accounts Payable

"*" indicates required fields

Step 1 of 3

33%

Company Info*

Phone*

Billing Address*

Street Address Address Line 2 City State ZIP Code

Shipping Address (if different than billing)

Street Address Address Line 2 City State ZIP Code

Accounts Payable Name & Title*

First Last

Accounts Payable Title*

Accounts Payable Phone*

Accounts Payable Email*

Enter Email Confirm Email

Tax Exempt*

Yes

If yes, please attached a copy of the Tax Exemption Certificate

Max. file size: 80 MB.

Payment Method*

Please select your payment method. Any credit card processing fees will be passed to you with a 5% per transaction

ACH

Credit Card

ACH Authorization

Please sign this ACH authorization form allowing us to electronically debit your account for service fees going forward. This information is kept strictly confidential, and you will be notified in advance before any future recurring debit takes place. Once we receive this signed form, we will reach out to collect your bank information.

ACH Consent*

I hereby authorize 20Twenty Design to debit my account in the dollar amount specified in my contract on a monthly basis.

I understand this authority is to remain in full force and effect until I notify 20Twenty Design in writing to cancel it in such time as to afford 20Twenty Design a reasonable opportunity to act. I have the right to stop payment of an automatic payment by notification to 20Twenty Design (5) business days before my account is to be charged. I further agree that any payments returned NSF or unpaid shall be subject to a return fee of $25.00 and that my account may be electronically debited to recover both the returned payment and the return fee.

E-Signature (please type your name)*

By typing your name into the provided input field, you acknowledge and agree that this action constitutes a legal signature. You affirm that the information provided is accurate and authentic, and you understand that this electronic signature holds the same legal validity as a handwritten signature.

Date*

This field is for validation purposes and should be left unchanged.