First United Methodist Church of Northville AUTHORIZATION AGREEMENT FOR AUTOMATIC WITHDRAWAL OF FUNDSAuthorization Agreement for Automatic Withdrawal of Funds • November 2nd, 2020
For Electronic Funds Transfer (EFT), please complete one of two sections explained below. Once you have completed the form, you can mail this form to the church office or email this form to Jennifer Harrison at jharrison@fumcnorthville.org.
AUTHORIZATION AGREEMENT FOR AUTOMATIC WITHDRAWAL OF FUNDSAuthorization Agreement for Automatic Withdrawal of Funds • December 5th, 2017
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:
ContractAuthorization Agreement for Automatic Withdrawal of Funds • August 15th, 2007
AUTHORIZATION AGREEMENT FOR AUTOMATIC WITHDRAWL OF FUNDS Church Name: St. Williams Church; Atascadero, CA Date: / / Envelope #(leave blank if not applicable) Last Name: First Name: Address Telphone City State Zip
AUTHORIZATION AGREEMENT FOR AUTOMATIC WITHDRAWAL OF FUNDSAuthorization Agreement for Automatic Withdrawal of Funds • December 26th, 2022
Authorization Agreement for Automatic Withdrawal of FundsAuthorization Agreement for Automatic Withdrawal of Funds • December 29th, 2011
AUTHORIZATION AGREEMENTAuthorization Agreement for Automatic Withdrawal of Funds • October 21st, 2015
Authorization Agreement for Automatic Withdrawal of FundsAuthorization Agreement for Automatic Withdrawal of Funds • May 11th, 2011
Authorization Agreement for Automatic Withdrawal of Funds from Checking AccountAuthorization Agreement for Automatic Withdrawal of Funds • January 20th, 2014
Type of Authorization: New Authorization Change in Banking Information Change in Amount Discontinue Electronic Authorization
ContractAuthorization Agreement for Automatic Withdrawal of Funds • May 31st, 2021
Authorization Agreement For Automatic Withdrawal of Funds Biblical Mennonite Alliance63645 Hidden Ridge Ct, Goshen, IN 46528 Email: bmabookkeeper@gmail.com Telephone: 574-849-3735
AUTHORIZATION AGREEMENT FOR AUTOMATIC WITHDRAWAL OF FUNDSAuthorization Agreement for Automatic Withdrawal of Funds • October 24th, 2017
Date of first donation: / / Frequency of donation: (please check only one) ❑ Monthly on the 10th❑ Quarterly on the 1st (Jan, Apr, Jul, Oct) Donation amount: $ Special Instructions:
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
AUTHORIZATION AGREEMENT FOR AUTOMATIC WITHDRAWAL OF FUNDSAuthorization Agreement for Automatic Withdrawal of Funds • January 24th, 2021
Type of Authorization: ❑ New authorization❑ Change donation amount❑ Change donation date❑ Change banking information❑ Discontinue electronic donation
AUTHORIZATION AGREEMENT FOR AUTOMATIC WITHDRAWAL OF FUNDSAuthorization Agreement for Automatic Withdrawal of Funds • July 11th, 2014
Date of first contribution: Frequency of contribution: (please check only one) Church fund designations and amounts: / / ❑ Weekly – Mondays❑ Semi-Monthly – 1st and 15th❑ Monthly on the 1st❑ Monthly on the 15th ❑ A Living Sacrifice $ ❑ Offertory $ ❑ Maintenance Fund $ ❑ ADW Collection $ ❑ Donation $ Special Instructions: Total $
AUTHORIZATION AGREEMENT FOR AUTOMATIC WITHDRAWAL OF FUNDS Our Father’s Children, Inc. ES7568 Donor # (leave blank if not applicable) Last Name First Name Address City State ZipAuthorization Agreement for Automatic Withdrawal of Funds • February 19th, 2009
Please debit my donation from my (check one):❑ Checking Account (attach a voided check)❑ Savings Account (contact your financial institution for Routing #) Routing Number: Valid Routing # must start with 0, 1, 2, or 3 Account Number:
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
Authorization Agreement for Automatic Withdrawal of FundsAuthorization Agreement for Automatic Withdrawal of Funds • March 20th, 2020
ContractAuthorization Agreement for Automatic Withdrawal of Funds • September 9th, 2011
If you would like to have your contributions to Central Baptist Church automatically debited from your checking or savings account, please complete this form and return it to the business office. Thank You!
AUTHORIZATION AGREEMENT FOR AUTOMATIC WITHDRAWAL OF FUNDSAuthorization Agreement for Automatic Withdrawal of Funds • February 26th, 2022
Date of first contribution: Frequency of contribution: Church fund designations and amounts:❑ General Operating $ ❑ Maintenance $ ❑ Archdiocesan Collections $ ❑ Capital Campaign $ Total $ / / ❑ Weekly – Mondays❑ Semi-Monthly – 1st and 15th❑ Monthly on the 1st❑ Monthly on the 15th❑ Quarterly on the 1st Special Instructions: Annual contributions:❑ Easter Offering❑ Christmas Offering $ $ One-time transfer on April 1stOne-time transfer on December 15th
ContractAuthorization Agreement for Automatic Withdrawal of Funds • July 23rd, 2018
Authorization Agreement for Automatic Withdrawal of Funds Assumption of the Blessed Virgin Mary Parish Belmont, MI ES7863
AUTHORIZATION AGREEMENT FOR AUTOMATIC WITHDRAWAL OF FUNDSAuthorization Agreement for Automatic Withdrawal of Funds • February 21st, 2022
New England Annual ConferenceAuthorization Agreement for Automatic Withdrawal of Funds • November 5th, 2021
ContractAuthorization Agreement for Automatic Withdrawal of Funds • April 23rd, 2017
AUTHORIZATION AGREEMENT FOR AUTOMATIC WITHDRAWAL OF FUNDS Effective date of authorization: Type of authorization: □ New authorization □ Change banking information□ Change donation amount □ Discontinue electronic donation□ Change donation date Last Name First Name Address City State Zip Date of first donation: / / Frequency of donation: (check only one)□ Weekly – Mondays□ Semi-Monthly – 15th and 30th□ Monthly on the of each month□ Other - use Special Instructions section Contribution Amount: $ Special Instructions: Please debit my donation from my (check one):□ Savings Account (contact your financial institution for Routing #)□ Checking Account (attach a voided check) Routing Number: Valid Routing # must start with 0, 1, 2, or 3 Account Number: I authorize Turning Point Church to process debit entries to my account. I understand that this authority will remain in effect until I provide reasonable notification to terminate the authorization. Authorized Signature: Date:
AUTHORIZATION AGREEMENT FOR AUTOMATIC WITHDRAWAL OF FUNDS-ES8315Authorization Agreement for Automatic Withdrawal of Funds • August 5th, 2008
COMPLETE FORM: Please fill out all information and turn into Park and Recreation Office in person or see other options to the right. >>>
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
AUTHORIZATION AGREEMENT FOR AUTOMATIC WITHDRAWAL OF FUNDSAuthorization Agreement for Automatic Withdrawal of Funds • December 12th, 2008
Date of first contribution: / / Frequency of contribution: (please check only one)❑ Weekly – Mondays❑ Semi-Monthly – 1st and 15th❑ Monthly on the 1st❑ Monthly on the 15th Contribution amount:$ Special Instructions:
Hokyoji Zen Practice CommunityAuthorization Agreement for Automatic Withdrawal of Funds • October 21st, 2012
Contribution amount: $ per month for the Retired Leaders Fund. This amount will be debited on the 15th of each month for one year from the date below.
AUTHORIZATION AGREEMENT FOR AUTOMATIC WITHDRAWAL OF FUNDSAuthorization Agreement for Automatic Withdrawal of Funds • November 19th, 2018
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 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 provide reasonable notification to terminate the au
ContractAuthorization Agreement for Automatic Withdrawal of Funds • May 24th, 2007
AUTHORIZATION AGREEMENT FOR AUTOMATIC WITHDRAWAL OF FUNDS Chatham-Summit Friends Meeting ES6608 Last Name First Name Address City State Zip Meeting Fund Dollar Amount Frequency (check one for each church fund and include the effective date)❑ Operating Fund $ ❑ Weekly – debited on Monday, beginning / (dd/mm)❑ Bi-monthly – debited on the 1st and 15th of each month, beginning in (month)❑ Monthly – debited on the 1st of every month, beginning in (month)❑ Quarterly – debited on the 1st of every third month beginning in (month) ❑ Building ❑ Weekly – debited on Monday, beginning / (dd/mm)Renovation Fund $ ❑ Bi-monthly – debited on the 1st and 15th of each month, beginning in (month)❑ Monthly – debited on the 1st of every month, beginning in (month)❑ Quarterly – debited on the 1st of every third month beginning in (month) ONE-TIME CONTRIBUTION (credit card option only) $ Date to be transferred / / CHECKING / SAVINGS Please debit my contribution from my (check one): Routing Number: Valid Routi
AUTHORIZATION AGREEMENT FOR AUTOMATIC WITHDRAWAL OF FUNDSAuthorization Agreement for Automatic Withdrawal of Funds • May 21st, 2009
Date of first contribution: / / Frequency of contribution: (please check only one)❑ Weekly – Mondays❑ Semi-Monthly – 1st and 15th❑ Monthly on the 1st❑ Monthly on the 15th Contribution amount – Sunday Offerings: $ Special Instructions:
Authorization Agreement for Automatic Withdrawal of Funds Association Name:Authorization Agreement for Automatic Withdrawal of Funds • August 20th, 2020
AUTHORIZATION AGREEMENT FOR AUTOMATIC WITHDRAWAL OF FUNDSAuthorization Agreement for Automatic Withdrawal of Funds • April 22nd, 2013
ContractAuthorization Agreement for Automatic Withdrawal of Funds • August 11th, 2020
Authorization Agreement For Automatic Withdrawal of Funds Biblical Mennonite AllianceP.O. Box 218, Elnora, IN 47529 Email: bmabookkeeper@gmail.com Telephone: 574-849-3735
AUTHORIZATION AGREEMENT FOR AUTOMATIC WITHDRAWAL OF FUNDS Name (please print): Address: City: State: Zip: Email (for receipts): REGULAR CONTRIBUTIONS:Church Fund: Pledge Building Fund Special Event Dollar Amount: Frequency: Start Date: / / $ $ $ ...Authorization Agreement for Automatic Withdrawal of Funds • September 22nd, 2017
AUTHORIZATION AGREEMENT FOR AUTOMATIC WITHDRAWAL OF FUNDSAuthorization Agreement for Automatic Withdrawal of Funds • July 15th, 2009
