ACH Debit Form

ACH Authorization For Withdrawal of Monthly Assessments

ACH is the auto-withdrawal by ASPM-SanDiego of homeowner monthly dues assessments. This payment option is offered free of charge to homeowners. IMPORTANT NOTE: If you currently have recurring payments either by credit card or e-check through the ASPM web portal, you will need to cancel those payments to prevent doubled billing.

"*" indicates required fields

Homeowner Association Name*

Address*

Street Address City ZIP / Postal Code

Your Unit # OR Enter N/A*

Name of Financial Institution*

Branch Location of Financial Institution*

Monthly Debit $ Amount*

Bank Routing Number*

Confirm Bank Routing Number*

Bank Account Number*

Confirm Bank Account Number*

Name on Bank Account*

ASPM Account # (If you know it, from the top right of your ASPM online account screen).

Email Address*

Enter Email Confirm Email

Please enter the best phone number (xxx) xxx-xxxx or email address to reach you in case there is a problem with your enrollment.*

Date*

MY NAME ENTERED BELOW CONSTITUTES MY SIGNED AGREEMENT TO WITHDRAW MONTHLY DUES ASSESSMENTS FROM MY BANK ACCOUNT.*

First Last

Phone

This field is for validation purposes and should be left unchanged.