Please complete this form in order to validate account information. If you have questions or need assistance with this form, please call the Foundations office at (803) 777-1466 or email EdFndAP@mailbox.sc.edu. Please do not fax.

By signing this form, I authorize the University of South Carolina Foundations to initiate electronic credit entries to a checking or a savings account indicated at the financial institution identified above. I understand that payments and reimbursements may be made by the University of South Carolina Foundations, to me or the vendor I represent and only to the one bank account indicated. In the event of overpayment to this bank account, I authorize the University of South Carolina Foundations to make an adjusting debit entry to the account up to the amount of the overpayment. I may revoke or cancel this authorization and enrollment by notifying the University of South Carolina Foundations in writing at least fifteen (15) days prior to termination. Any change to the bank account or to a new financial institution will require a new ACH Authorization and Enrollment Form. Failure to notify the University of South Carolina Foundations of an account change will delay payment.