Vendor ACH Enrollment Form

Please complete all required fields (marked with *) below to enroll in ACH (direct deposit) payments with Palm Springs Art Museum. This information will be used solely for processing electronic payments.

Enter your legal business name as it appears on tax documents.
Carefully check that your bank routing and account numbers are correct before submitting.
Upload a completed W-9 if requested.
Review the authorization section.

Once you click Submit, you will receive an email confirmation. Our Finance Department will securely review your information and reach out if any additional details are needed.

Contact Information

Vendor/Business Name*

Name*

Contact Email*

Enter the main email for your organization’s representative we should reach out to with questions or general communication.

Remittance Email*

Enter the email address where payment notifications and remittance details should be sent (often your accounting or finance department).

Phone

Address

Bank Information

Bank Name*

Routing Number*

Account Number*

Account Type*

Checkings

Savings

Tax Information

Tax Identification Number

Upload W-9

Please upload a completed IRS W-9 form only if it is not already on file with Palm Springs Art Museum.

Drop files here or

Accepted file types: jpg, gif, png, pdf, Max. file size: 10 MB, Max. files: 2.

Authorization

Authorization*

I authorize Palm Springs Art Museum to deposit payments via ACH into the account listed above. This authorization will remain in effect until written notice is provided.