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ACP Internal Medicine Interest Group (IMIG) Sponsorship Program – ACH Payment Form
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Please provide your IMIG’s Automated Clearing House (ACH) payment information in order to receive electronic payments to your club. If you do not know the information, reach out to the department that has oversight of the IMIG account.
Account Number
Routing Number
Bank Name
Beneficiary Name (Medical School Name)
Beneficiary Address (Medical School Address)
Name of IMIG
IMIG Faculty Advisor Name
IMIG Faculty Advisor E-mail