Check by Net

By completing the form below, you are authorizing Van Dinter & Associates, Inc. to present a draft to your bank against the designated checking account for the payment of your bill.

Please complete all information on the form as it currently appears on your pre-printed check. Include the exact name of your business, the address, check number, the bank's name and address, the bank fraction, ABA routing number, and account number. Once you have entered the correct information in the appropriate location, fill in the remaining payment information as you would on any check, including the date, the payee, and the amount of the check, both written out and numerically.

Additionally, complete the appropriate space provided under the check as further authorization for Van Dinter & Associates, Inc. to complete the draft, including the name, title, and e-mail address of the person authorizing the draft. Once the information is completed, press the "Submit" button, and the draft will be created and then submitted for payment. A confirmation will be sent to your e-mail address as verification that the transaction has been completed.

If there are any questions or problems regarding the use of this form, please feel free to contact us at (951) 693-3318, or toll-free at (877) 643-4549.

Thank you for your payment.