Muse Teaching Artist - Contract and Direct Deposit

Teacher Name *

First

Last

Phone *

This phone number will be used for your muse account.

Email *

DIRECT DEPOSIT AUTHORIZATION

Please print and complete ALL the information below.

Name on Account *

Name of Bank *

Account Number *

9 Digit Routing Number *

The Muse Writers Center is hereby authorized to directly deposit my pay to the account listed above. This authorization will remain in effect until I modify or cancel it in writing.

Signature

Clear Signature

Download and read Independent Contractor Contract

Signature *

Clear Signature

By signing above, I agree to the terms and conditions set forth in this Agreement, to be effective as of the Effective Date set forth below.

Date *