St. Monica Catholic Church

I am the vine, you are the branches;
he who abides in Me and I in him,
he bears much fruit,
for apart from Me you can do nothing.

Automatic Bank Draft

This form authorizes St. Monica Church to withdraw an amount specified by you from your checking or savings account on a monthly basis.


This is a secure encrypted form. Information submitted will be accessible only by the St. Monica Church office.


First Name*
Last Name*
E-mail*
Address*
Address 2
City*
State*
Zip*
Phone*
Envelope Number (if you know it)
 
2008 Pledge (total for the year)*
Acct Type*
Payment Frequency*
For monthly deductions, if the 5th or 20th fall on a weekend or Federal Holiday, the deduction will occur on the following banking day.
 
Bank / Financial Institution Name*

How to find your Bank Routing Number and
Bank Account Number
Bank Routing (ABA) Number*
Bank Account Number*
 
ACH TERMS. By submitting this form, you authorize St. Monica Church and the financial institution listed above to withdraw from your account the amount listed above on a weekly or monthly basis. This also includes your authorization for the financial institution to reverse any charges made in error. This authority will remain in effect until you give written notice to cancel it. You understand that in order to automate recording of your donations, St. Monica Church may store your bank account information in their donor database software.
Agreement*