AUTHORIZATION FOR TITHE/OFFERING PAYMENTS

I wish to have my tithes/offerings to New Hope United Methodist Church automatically deducted from my checking/savings account.  Accordingly, I hereby authorize New Hope United Methodist Church to initiate debit entries (and any correcting entries, if necessary) to my checking/savings account indicated below.  I understand this authorization will remain in effect until New Hope United Methodist Church has received written notification from me of its termination, and that such notification must be received by New Hope United Methodist Church at least 14 days prior to the next scheduled payment.  Please return completed authorization form along with a copy of a voided check to the church office, attn: Kathy Buechler, Treasurer.

YOUR NAME AND ADDRESS    

BANK NAME AND ADDRESS

ACCOUNT TYPE                            BANK ROUTING NUMBER

             Checking                              : _ _ _ _ _ _ _ _ _ : 

                                               (9 digits in bottom left corner of check)

             Savings                                ACCOUNT NUMBER

                                                            ________________

                                               (digits in center of check) 

Note:  We are not set up to do debit or credit cards at this time, therefore it must be a checking or savings account.        

Start Date: mm/dd/yy                         /           /