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First United Methodist Church of Chula Vista

AUTHORIZATION AGREEMENT FOR AUTOMATIC WITHDRAWAL OF FUND

Name on Account (required)

Email (required)

Address (required)

Please debit my donation from my (check one):
Checking AccountSavings Account (contact your financial institution for routing number)

Routing Number (Valid Routing # must start with 0, 1, 2, 3) (required)

Account Number

Amount

Frequency
Weekly– MondaysSemi-Monthly– 1st and 15thMonthly on the 1stMonthly on the 15th

Other Frequency

Starting On (indicate the date for first withdraw from your account)

AGREEMENT- By completing the Authorization for Automatic Withdrawal of Funds, I authorize First United Methodist Church of Chula Vista 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.

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