Make a Payment – Check/Bank Account

Please use the secure form below to submit your payment. All fields are required in order to process your payment.

Full Name (First and Last):

Email:

Address:

City:

State:

Zip Code:

Social Security Number:

Bank Name:

Bank Account Holder:

Routing (ABA) Number – 9 digits:

Account Number:

Payment Amount:

 I authorize Zenith Financial Network Inc. to withdraw this payment amount from by bank account.