Checking Account Debit Authorization

Fields that have an * are required.

  • This form allows Howell Academy to have your child's tuition taken out of your checking account monthly from Sept. 2022 to May 2023

    You must upload a photo of a Voided Check at the end of this form.
  • Checking Account Information

    Please debit payments from my checking account, below.
  • Valid Routing # must start with 0, 1, 2, or 3
  • Max. file size: 50 MB.