Common Contracts
1 similar Authorization Agreement for Automatic Withdrawal of Funds contracts
AUTHORIZATION AGREEMENT FOR AUTOMATIC WITHDRAWAL OF FUNDSAuthorization Agreement for Automatic Withdrawal of Funds • May 15th, 2012
Please debit my contribution from my (check one):⬜ Checking Account (attach a voided check) ⬜ Savings Account (contact your financial institution for Routing #)Bank Name: Routing Number: Valid Routing # must start with 0, 1, 2, or 3Account Number: Date of first contribution: Frequency of contribution:(please check only one) ⬜ Semimonthly – 5th and 20th⬜ Monthly on the 5th⬜ Monthly on the 20th Church fund selection and amounts: / / ⬜ General Fund $ ⬜ Fingerprints $ Total Monthly Donation: $ Special Instructions:
