SaveMart ACH payment request

P.O. Box 4664, Modesto, California 95352-4664
1600 Yosemite Blvd. Modesto, CA 95354
(209) 574-6262
Dear Valued Vendor,
Thank you for participating in the Save Mart C2FO Program. We would like to extend to all participants
the option of having your funds settle within three business days of the event instead of waiting for the
check to arrive via US Mail.
If you are interested, please enroll in the ACH payment program by providing the following information
and return it to my attention.
Please circle: ACH (via direct deposit with an e-mail notification) or EDI ctx (820 with remittance advice).
Company Name: ______________________________
Vendor Number: ___________________________
Bank Name ___________________
Bank Acct # __________________
Last 5 Save Mart payments received (check numbers)
ACH Contact Name: __________________
ACH Contact Ph# : __________________
ACH Contact Email: __________________
If you need additional information on the program, or have questions about the set up process, please
feel free to contact me Monday – Friday 7-3:30pm!
Thank you!
Corinne Pereira
Save Mart Supermarkets
Accounts Payable Department
PO Box 4664
Modesto, Ca 95352-4664
Ph. 209-574-6299 x5243
EM. [email protected]
Fax. 209-530-1827