ACH Enrollment/Change Authorization Form

I certify that the information above is true and correct, and that I, as a payee/company official for the above named company, hereby authorize Thetford^® LLC to electronically deposit payments to the designated bank account. This authority remains in full force until Vendor provides written notice of change or cancellation delivered to Thetford^® LLC, Accounts Payable Department, P.O. 1285, Ann Arbor, MI 48106.