Online Giving - Electronic Funds Transfer Form

Online Giving - Electronic Funds Transfer Form
Name
  •  
Address
  •  
Phone --
  •  
Email
  •  
Weekly Donation Amount
  •  
Weekly Donation
  •  
Special Monthly Amount
  •  
Special Monthly Amount
  •  
One Time Donation
Amount Donated
  •  
Credit Card Information
Full Name on Card
  •  
16 Digit Credit Card Number
  •  
Expiration Date
  •  
Bank Information
Bank Name
  •  
Routing Number
  •  
Account Number
  •  
Extra Collections
Please let us know if you would like to contribute to the extra collections. Those can be set up online as well.
  •  
 
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