Mementograph

MEMENTOGRAPH ACH INFORMATION FORM

Fill out this form to start receiving payments from the Mementograph Photo Booth at your business. Delay in providing this information may delay payment.

The name the booth’s location goes by, if it isn’t the legal name.

Account type
Personal or business account?

The 9-digit number at the bottom-left of a check.

I affirm that the account information I have provided is correct, and that I have the full authority to provide this information on behalf of my company. I understand that entering the wrong information here may lead to payment to the incorrect recipient. I acknowledge that Mementograph LLC is not responsible for reclamation of funds in the event of incorrect payment due to incorrect information.

Mementograph LLC · Sent over an encrypted connection. Your account number is never emailed.