Common Contracts
1 similar Authorization Agreement for Automatic Withdrawal of Funds contracts
Living Hope Native Ministries ES6547Authorization Agreement for Automatic Withdrawal of Funds • May 31st, 2021
Authorization Agreement for Automatic Withdrawal of FundsDonor #: _(leave blank if not applicable) Name on Account (please print) Address City _ _ State Zip Please debit donations from my (check one):❑ Checking Account (attach voided check)❑ Savings Account (attach savings deposit slip) Routing Number Routing # is located at bottom of check between the symbols |: |: Account Number Donation Information:I would like to make the following donation(s): Donation Frequency (please check one):❑ General Fund $ _ ❑ Weekly - Debited on Mondays❑ Project Fund, please designate $ _ ❑ Semimonthly - Debited on the 5th and the 20th❑ Staff Support for _ $ _ ❑ Monthly - Debited on the 5th or the 20th (circle one)❑ Quarterly – The 1st of the month beginning Please make my ongoing donation effective (date of first donation).mm/yy I authorize Living Hope Native Ministries and Vanco Services, LLC to process monthly debit entries from my checking or savings account indicated above. I understand that this
