To set up your account for ACH auto-payment, please complete and submit the information below.

After reconciling your account each month with any required changes (for example: removing enrolled employees, or adding new employees), Amaze will send you a monthly invoice marked “DO NOT PAY – AUTO PAY SET UP”. Your invoice will be sent on or about the 10th day of the month.

Your first and last name

Your email

Your company

Your company street address

Your company city

Your company state

Your company zip code

Your bank’s name

Your bank’s routing number

Your account number

Company or Individual Name on Bank Account

Any message you’d like to send us (optional)