Common Contracts
1 similar Authorization Agreement for Automatic Withdrawal of Funds contracts
ContractAuthorization Agreement for Automatic Withdrawal of Funds • December 2nd, 2016
Authorization Agreement for Automatic Withdrawal of Funds Envelope # (leave blank if not applicable) Name (Please print) _ _ __Address _ _ _ __City _ _ State _ _ Zip Please debit my contributions from my (check one): Checking Account (attach voiced check)Savings Account (attach savings deposit slip)Routing Number: _ Account Number Located at bottom of check between the symbols |: |: I would like to make the following regular contributions (s):Fund Dollar Amount Frequency Start Date Operating Fund $ Weekly -——/—-—/——-Semi-Monthly Monthly Mennonite Education $———————— Weekly _ / /_ Fund Semi-MonthlyMonthly Where Most Needed $ Weekly -——/—-—/——- (Either Fund) Semi-MonthlyMonthly I authorize Waterford Mennonite Church to process debit entries from my checking or savings account as indicated above. I understand that this authorization will remain in effect until I have it canceled. If I wish to cancel my authori- zation or make any change to the above information, I will notify Waterford Me
