CheckFree

 

Electronic Funds Transfer Enrollment

Authorization Form

 

I hereby authorize Water of Life to transfer the amount listed on this form from my account as per the scheduled requested.  This authority will remain in effect until I provide notice in writing to cancel this agreement.  I understand that this cancellation request must be made at least 10 days prior to the next scheduled transfer.

To submit by mail:  Print this form, complete the information requested, and mail to:  Water Of Life,  PO Box 2022 ,Fallbrook, CA 92088

To submit by email:  Print this form, Complete, sign(signature required ),then scan and e-mail this form to: :    

 

Name & Address Information

Name: ___________________________________________________________

Address: _________________________________________________________

City/State/Zip:  ____________________________________________________

Home Phone: _____________________________________________________

E-mail address: _____________________________________________________

 

How does CheckFree Work?  EFT provides a simple and convenient method for your planned giving. By filling out the attached form, you authorize automatic payments from your bank account to Water of Life at your preferred frequency. Your bank or credit card statement will include these payments, and you will continue to receive a record of your gifts to Water of Life..

Is there a risk in making an EFT Payment?  No. An electronic contribution is safer than writing a check; it can’t be lost, stolen or destroyed in the mail. Electronic contributions also have a high accuracy rate.

Can I change the amount of my gift?  You can change the amount of your gift at any time by simply completing a form and either sending it via mail or by e-mail.

*Signature is required for all transactions.

 

 

CheckFree

 

Enrollment & Authorization

 

 

Transfer Frequency

Transfer my donation of   $__________  to Water of Life as follows:

□   On the first of every month

□   On the 15th of every month

□   Other frequency: _______________

Date of first withdrawal: ____________

 

Method

□   Checking   □ Savings

(Please include voided check / or include bank info :see picture on last page))

 

Bank Name: ___________________________
Bank Address: __________________________
City/State/Zip: __________________________
Account Name: _________________________
Account #: ____________________________
 ABA Bank Routing# : _______________________________

 

□   Credit Card 

□   Visa        □   MasterCard       □ Discover        □ Amex.

 

Account #: ____________________________________________

Expiration Date: ___________________

 

 

Signature (required for all transactions)  _______________________________