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 • November 14th, 2024
FOR OFFICE USE ONLY ENVELOPE/DONOR # DATE Effective date of authorization: / / Type of authorization: ❑ New authorization ❑ Change donation amount ❑ Change donation date ❑ Change banking information ❑ Discontinue electronic donation Last Name First Name Address City State Zip Email Address DATE OF FIRST DONATION: / / FREQUENCY OF DONATION:❑ Monthly on the 5th❑ Monthly on the 20th FUNDS:❑ Regular Sunday Contribution❑ Building & Maintenance❑ Cemetery❑ Scholarship❑ School-Special Gift❑ Youth Ministry❑ Parish Endowment Fund❑ School Endowment Fund Total AMOUNTS:$ $ $ $ $ $ $ $ $ CHECKING / SAVINGS Please debit my donation from my (check one):❑ Savings Account (contact your financial institution for Routing #)❑ Checking Account (attach a voided check below) Routing Number: Valid Routing # must start with 0, 1, 2, or 3 Account Number: I authorize the above organization to process debit entries to my account. I understand that this authority will remain in effect until I p
