Automatic Giving Enrollment Form

 cross_and_flame_color_thumb_400  First United Methodist Church
AUTOMATIC GIVING ENROLLMENT FORM

Enrollment Instructions: Complete the personal information section.  Designate the fund(s) where you’d like your donation to go and the amount.  Total the donation amount.  Select the frequency of your contribution.  Enter the date you want this to take effect (please allow one week for processing). Complete the Bank Account box.  Sign and date and return the completed form to the church office or place in the offering plate.

PERSONAL INFORMATION
Name
Address
DESIGNATE FUND(S) AND AMOUNT
Church Fund Designations: Amount Per Donation
GENERAL FUND $ ______________
ABIDING FAITH $ ______________
TOTAL DONATION AMOUNT $ _______________
FREQUENCY OF DONATION
Frequency of Donation: Please check only one
Weekly on Monday
Semi-Monthly
(transferred on 1st and 15th of each month)
Monthly on the 1st
Monthly on the 15th
Date to Begin __________________
(please allow one week for processing)
BANK ACCOUNT
Donations should be taken from:    
 
  Checking
 
  Savings
 
Bank Name:  __________________________  
Routing Number: ______________________
Account Number: ______________________
     
I authorize First United Methodist Church of Nebraska City to automatically withdraw donations from my account.  This authority will remain in effect until I give reasonable notification to terminate the authorization.
Account Holder Signature ________________________
Date _______________________________
Return completed form to the church office. 
 

 

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