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Making it
easy for givers to give. |
Authorization
Agreement for Automatic Withdrawal of Funds
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New Goshenhoppen United Church of Christ |
UCC600320
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Envelope
# (leave blank if not applicable) |
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Last Name
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First Name
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Address
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City
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State
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Zip
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Please debit my
contribution from my (check one):
q Checking Account (attach a voided check)
q Savings Account (contact your financial institution
for Routing #) |
Routing Number:
___________________________________
Valid Routing # must start
with 0, 1, 2, or 3
Account
Number: ___________________________________
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Date of first contribution: |
Frequency of contribution: (please
check only one) |
Church fund designations and
amounts: |
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______/______/______
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q Weekly – Mondays q Semi-Monthly – 1st and 15th
q Monthly on the 1st q Monthly on the 15th |
q General/Operating q Building Total |
$ __________ $ __________ $ $ __________ |
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Special Instructions: |
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Agreement
I authorize the above church
and Vanco Services, LLC to process debit entries to my account for
StillspeakingMoney®. I understand
that this authority will remain in effect until I provide reasonable
notification to terminate the authorization.
Authorized
Signature:_________________________________________________________________ Date:________________ |
* Who is Vanco
Services, LLC?
Vanco Services, LLC is the financial technology services
company chosen by the United Church of Christ as a partner in offering
StillspeakingMoney®. Vanco’s
e.service® Electronic Funds Transfer Service provides secure, inexpensive
electronic giving services to more than 6,000 churches nationwide. Information provided to Vanco Services is
kept strictly confidential and is never sold, rented or given away.
Please staple voided check here.
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