Online Check Payment Request Form

In today's world there are so many financial responsibilities to keep track of that sometimes it's almost overbearing. Here at Trinity, it is our desire to help make your studies as easy and well organized as possible. In the area of finances, we now offer "Online-Check" for students in the United States only. You can call or send in the form below and we will draft a check from your bank account for the amount you wish to pay.

You can do "Online-Check" any time you wish. There is no extra charge involved. If you need to get us the payment immediately you can give us a call at 812-858-3233 or fax the form in to our office at 812-858-3242. Any time you wish to make a payment by "Online-Check" you will need to fill out a new form or call us and give us the new check number and amount of the check. Remember your payments are due in our office on or before the 15th of the month in order to avoid being assessed a late fee.

 

AUTHORIZATION FOR ONLINE-CHECK

THIS PAYMENT OPTION IS ONLY AVAILABLE FOR STUDENTS IN THE U.S.

Your Name:
Your Student ID:
Name on Check:
Address on Check:
City:
State:
Zip:
Routing Number:
(First set of numbers at the bottom of the check)
Account Number:
(Second set of numbers at the bottom of the check)
Check Number:
Amount of Check:
Name of Bank:
Signature:

Notes:

*** Please remember to VOID this check in your check book! ***