Authorized Signature Card Sample Clauses

Authorized Signature Card. □Sig □FW □Ack □DDI □Scan Number of signatures required for withdrawals & transfers: (at least two required) FACSIMILE SIGNATURE(S) ALLOWED? □ Yes □ No SCAN/EMAIL SIGNATURE(S) ALLOWED? □ Yes □ No [x ] Printed Name: Account Number(s): List all that apply or write “ALL”. Use a different form if signers differ per account. Primary Contact Name: Position at church: Phone: Email: Church Name: City: State: Effective Date: Mountain Sky United Methodist Foundation, Inc. 0000 X Xxxxxxxx Xx, Xxxxx 000 Greenwood Village, CO 80111 Phone: 000-000-0000 Fax: 000-000-0000 xxxx@XxxxxxxxXxxXXX.xxx This form replaces all previous signature cards. Addendums to existing signature cards are not allowed. SIGNATURE(S): The undersigned certifies the accuracy of the information he/she has provided and acknowledges receipt of a completed copy of this form. For more than four signers, use a second form. □Authorized Signer □View Online Statements (3)[x ] Printed Name: Title: D.O.B. S.S.N. Phone: Email: □Authorized Signer □View Online Statements (1)[x ] Printed Name: Title: D.O.B. S.S.N. Phone: Email: □Authorized Signer □View Online Statements (4)[x ] Printed Name: Title: D.O.B. S.S.N. Phone: Email: □Authorized Signer □View Online Statements (2)[x ] Printed Name: Title: D.O.B. S.S.N. Phone: Email:

Authorized Signature Card. (s) containing the signatures of individuals on the Recipient’s staff who are authorized to sign the Disbursement Form and Status of Funds (DFSF) report form. Only the signatures of persons authorized on current signature cards on file will be accepted. New signature cards must be submitted whenever there is a change to the persons authorized to sign the DFSF forms.