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Authorization and Agreement Form

Name of Church:_________________________________________________________

Name(s) on Bank Account:_________________________________________________

Checking Account Number: _____________________________

ABA Number: ___ ___ ___ ___ ___ ___ ___ ___ ___
(The 9 digits on your check to the left of the account number.)

We Authorize MyChurchDonations.com to initiate credit entries (deposits) and debit entries (withdrawals from), as outlined in the Church Agreement, to the account indicated above and the bank depository named above to debit and/or credit the same to such account. This authorizatio will also apply to future accounts that our church may specify online with MyChurchDonations.com.

MyChurchDonations is hereby authorized to obtain our credit ratings and banking history from our bank or any credit rating service or financial institution. 

We certify that all information submitted is and will be true and correct. This authorization is to remain in full force and effect until it is terminated according to the terms of the Church Agreement we have with MyChurchDonations.com.  

The undersigned certifies that the business meeting/constituency or governing board has adopted an approval resolution authorizing us to accept and sign the Church Agreement by placing our signatures on this Authorization and Agreement Form. It is with the express understanding that the church, the governing body or board, and the officers, represented by the undersigned, shall be responsible for the guaranteeing of all obligations set forth in the MyChurchDonations Church Agreement.  
 

Head Pastor or 
Administrative Pastor:

_________________________________
Print Name

_________________________________
Signature:

Social Security No. _____________________

Driver's License No. _____________________

Home Phone: __________________________

Home Address:_________________________

_________________________________

_________________________________

Date:__________________

Head Elder, Chairman of the  Board, or other appropriately elected lay Leader:

_________________________________
Print Name

_________________________________
Signature:

Social Security No. _____________________

Driver's License No. _____________________

Home Phone: __________________________

Home Address:_________________________

_________________________________

_________________________________

Date:__________________

 

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