browser icon
You are using an insecure version of your web browser. Please update your browser!
Using an outdated browser makes your computer unsafe. For a safer, faster, more enjoyable user experience, please update your browser today or try a newer browser.

EFT Form


Evangelical Covenant Church

Electronic Funds Transfer Form

Please complete the following form and return to:

ECC-World Mission 8303 West Higgins Road, Chicago IL 60631

Attn: Missionary Support, STM

Name:___________________________________

 

Address:_________________________________ Phone:_________________

 

City/State:________________________________ Zip Code:______________

I hereby authorize the business office of the Evangelical Covenant Church to automatically withdraw from my checking account the monthly amount stated below.  I understand and accept that this will begin in the month I have stated below and will continue until the Evangelical Covenant Church receives written notification from me stating this automatic withdrawal should be terminated.  I also recognize that monthly withdrawals will be made during the last week of each month.

Signature:________________________________ Date:_____________________

Bank and Account Information

Bank Name:______________________________ Phone:__________________

 __

City/State:_______________________________ Zip Code:________________

 

Name on the account:______________________________________________________

 

Acct #:_________________________________ Routing/ABA#:______________

 

Giving Information:

Monthly amount to withdraw:______________ Month to start:______________

 

Account name/number to credit:__STM:  Jenifer DeCastro_______________________

 

Please attach a voided check to this space:





 

Print Friendly, PDF & Email

Report This Post


Leave a Reply

Your email address will not be published.