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Change / Update Checking Account

Account Information:

Your Name:
E-Mail Address:
Your response will be sent here. Please insure that your spam blocks are setup to receive email from, or it is possible that our response to you will be sent to your spam folder therefore, you will not receive our response.
E-Mail Address Again:

Domain Name:

Checking Account Information:
(enter information just as it is on your check)

Name On Check:
Address 1:
Address 2:
ZIP Code:
Country: (US Only)
Phone Number on Check:
(Include Area Code)
Bank Name:
Bank City:
Bank State:
Bank Zip Code:
Bank Phone Number:
Bank Routing Number:
This is the first set of numbers on the bottom of your check between these symbols: ########## (if you are unsure, contact your bank.)
Checking Account Number:
This is the second set of numbers on the bottom of your check located just before this symbol:
Drivers License Number:
State Where Issued:
Date of Birth:


            All clients must agree to the following policies before continuing. If you do not agree, do not continue.

          THE REAL ESTATE HOST TERMS OF SERVICE & USE POLICIES: (view in separate window)

   I Agree To And Understand That I Am Bound By The Above Terms of Service and Use Policies as Outlined By The Real Estate Host.

Please review this form for accuracy before submitting. For security purposes, your remote address and user agent are traced through submission.

By submitting this form you confirm that you are the authorized user of the above checking account and authorize The Real Estate Host / BLUEINKIT.COM to begin charging this credit card for your fees.

NOTE: BLUEINKIT.COM will be the name that will appear on your credit card/banking statement.

NOTICE: Returned checks, whether due to insufficient funds, incorrect checking account number, or other reason provided by your banking facility, will result in immediate account suspension without notice to you and will incur a $25.00 return check fee in addition to service fees due prior to account reactivation.

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