ACH Membership Deposit at CPTC

Direct Payment  via  ACH  is  the  transfer  of  funds from  a  consumer account  for the purpose of making a payment.  Your submission will be emailed directly to our Membership Director.
Name*
First
Last
Email Address*
Phone Number*
*
Set Date
I authorize CENTRAL PARK TENNIS CLUB to electronically debit my account, and, if necessary, electronically credit my account to correct erroneous deb
Depository (Bank) Name*
Routing Number*
Account Number*
I authorize CPTC to deduct the nonrefundable deposit for membership (Full Equity:$2500.00, Young Professional:$2000.00, Intermediate or Junior:$500.00
I understand that this authorization will remain in full force and effect until I notify CENTRAL PARK TENNIS CLUB in writing that I wish to revoke thi
I authhorize*
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