P&H Direct Deposit Setup Form
Please complete this payment information request, attach a void cheque and fax to 1-877-***-**** to enable P&H to transfer money electronically into your account. If you have any questions please email *************@*****.** or contact your local P&H location. P&H Account Information
Account Name: Account #:
Contact Name: Email:
Phone Number: Cell Number:
Bank Account Information
Account holder signature: Date:
By signing below, I certify all information is true and current to the best of my knowledge. Bank Name:
Bank # (3 digits): Transit # (5 digits)
Account # (7-12 digits):
For more information visit: PARRISHANDHEIMBECKER.COM/DIRECTDEPOSIT