Thank you for taking the time to enroll in direct deposit of Plan benefits. Please take note that this selection will affect all future benefit payments and can be cancelled at any time by you. This agreement form does not have to be filled out every year, only if changes have occurred to your banking information. Please fill out all of the fields below, any information deemed inaccurate by the Fund will cause a delay in the deposits of your funds. Be sure to notify the Fund if any of your banking information is to change. For payment verification or explanation of payments received, please contact the Collections Department at the Fund Office at (215) 568-0430.