Authorization for Bank Draft
If you wish to have your gifts to the general budget of South Main Baptist Church deducted from your bank account, please fill out this form and place it in the offering any Sunday from January 8 through 22, 2012, or you can mail it to the church.
Department:
General
*
Name: (as shown on account)
*
Email:
Bank Name
Account #
Bank Routing #
Company:
I authorize bank drafts on the above account in the amount of $
per month until I notify the church in writing 10 days prior to the draft date to change or to stop drafting my account.
This draft is to begin on the
(15th or last) day of the month of
per year, 2012, and on the same day of the month thereafter.
Phone:
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mailing list:
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Any Comments:
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