Direct Deposit Enrollment

Artist Payment Details

My tax slips should be issued to a: *

Name *

First

Last

Company or Non-Profit Legal Name *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Voided Check or Direct Deposit Slip for the Account *

Drag & Drop Files, Choose Files to Upload

Tax ID Number

Canadian Business Number (BN), Social Insurance Number (SIN), US Employer ID Number (EIN), Social Security Number (SSN), or TIN. (Required for year end tax slip); please call us at 615-602-3319 if you prefer to provide separately by phone.

Payment Information

Name of Bank *

Account No. *

Routing No. *

Account Type *

Checking
Savings

Signature *

Clear Signature

Date *