ELECTRONIC FUNDS TRANSFER FORM |
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I would like to send a donation to Christ Chapel North Park, San Diego |
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Name: |
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E-mail:__________________________________ |
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Street: |
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Phone:__________________________________ |
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City/State: |
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Zip:_____________________________________ |
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Payment Options: |
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1) |
CHECKING *Note: For checking account authorization, attach a voided check.
I, ______________________________, authorize my bank to make my donation by direct debit to the
checking account listed below, and post it to my account. |
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Project Name: |
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Account# |
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Total monthly donation:___________ |
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Missionary's Name: |
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Account# |
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Total monthly donation:___________ |
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Ministry Name: |
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Account# |
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Total monthly donation:___________ |
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2) ƒ |
Where Needed Most |
Total monthly donation:___________ |
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ƒ If you are making a one-time donation, please check here. |
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I understand that I am in full control of my payment, and if at any time I decide to make any changes or
discontinue the EFT service, I will call or write Christ Chapel. Change of payment method will not affect
other provisions and terms of my contract. I also understand that the EFT is scheduled on the 20th day of the month. |
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Donor's signature: |
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Date:_____________________ |
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PLEASE ATTACH VOIDED CHECK - staple here |
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Mailing address: 1286 University Avenue PMB29 San Diego, CA 92103 tel. (619) 542-1113 fax (619) 692-0036 |
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