ARK Technology, Inc.
12866 #3 Ann Street,
Santa Fe Springs, CA 90670
Tel: (562)926-7888
Fax: (562)926-5668

 

 

Financial Authorization
To Release Confidential Information
 

Dear Customer:

In order for us to check your bank credit references, please complete this form with your signature and return it back as soon as possible. Also please attach a voided check.

Sincerely

 

Ark Technology, Inc.

Company Name: _____________________________________________________

Company Address: ___________________________________________________

Bank Name: ________________________________________________________

Bank Phone/Fax: _____________________________________________________

Bank Account:

1. ___________________________________________________

2. ___________________________________________________

 

Authorized Signature: __________________________ Date: _________________

Printed Name: ________________________________Title: _________________