Electronic Funds Transfer Form

Thank you for your partnership with our staff as they help spread the good news of God’s love throughout the world.

Staff name you are supporting*
Need to make a change to existing EFT Donation?
Donation Amount*
Frequency*
- Monthly
- Quarterly
- Annually
Please start my gift on*
- 6th of the month
- 15th of the month
Billing Information
Your Name*
First Last
I am representing an organization
Organization name
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone Number*
Bank Name*
Routing Number*
Account Number*
Confirm Account Number*
Country*
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