ACHePay - ACH ePayment Page

ACH PAYMENT FORM

ACHePay, Inc. has partnered with Wells Fargo to provide its clients with the most innovative fintech solutions for ACH Payment Processing. Please note that any payments received after 5:00 PM PST are subject to Next Day Payment processing methods, where investment funds are received within an estimated timeframe of two (2) business days.

FIRST NAME*

LAST NAME*

EMAIL ADDRESS*

PHONE NUMBER*

ADDRESS*

CITY*

STATE*

ZIP*

ACCOUNT NUMBER*

ACCOUNT TYPE*

ROUTING NUMBER*

PAYMENT AMOUNT (IN USD)*

DATE OF PAYMENT*

Please Reference The Sample Check Information
To Locate The Account Number And Routing Number
View Sample Check >

ACKNOWLEDGEMENT & AUTHORIZATION*

Today, being 01/11/2025, I, [client name], by entering my routing and account number above and clicking "Authorize," I authorize my payment in the amount indicated above to be processed as an electronic funds transfer (EFT) or draft drawn from my checking or savings account as indicated above and, if necessary, to have my account electronically credited to correct erroneous debits. I understand that my payment will be processed within 1-2 banking days. If the payment returns unpaid, I authorize you or your service provider to collect the payment and my state’s return item fee and, if applicable, costs, by EFT(s) or draft(s) drawn from my account. Click here to view your state's returned item fee and, if applicable, costs. I understand that this authorization will remain in full force and effect until I notify you that I wish to revoke it by calling (408) 354-9777 and allow you reasonable opportunity to act on my notice.

PLEASE PRINT A COPY OF THIS PAGE FOR YOUR RECORDS. ALTERNATIVELY, CONTACT US AT (408) 354-9777 TO LEARN HOW YOU CAN OBTAIN A COPY.