ACH Authorization Form

Schedule your donation to be automatically deducted from your bank account. Just complete and sign this form to get started!

Recurring Donations Will Make Your Giving Easier:

Here's How Recurring Donations Work:
You authorize regularly scheduled charges to your checking/savings account. You will be charged the amount indicated below each month. The charge will appear on your bank statement as an "ACH Debit." You agree that no prior-notification will be provided unless the date or amount changes, in which case you will receive notice from us at least 10 days prior to the debit being collected.

Recurring Payment Authorization Form

Account Owner Information
Gift / Debit Details
Account Information
I understand that this authorization will remain in effect until I cancel it in writing, and I agree to notify Rosedale Bible College in writing of any changes in my account information or termination of this authorization at least 15 days prior to the next billing date. If the above noted payment dates fall on a weekend or holiday, I understand that the payments may be executed on the next business day. I understand that because these are electronic transactions, these funds may be withdrawn from my account as soon as the above noted periodic transaction dates. In the case of an ACH Transaction being rejected for Non Sufficient Funds (NSF) I understand that Rosedale Bible College may at its discretion attempt to process the charge again within 30 days. I acknowledge that the origination of ACH transactions to my account must comply with the provisions of U.S. law. I certify that I am an authorized user of this bank account and will not dispute these scheduled transactions with my bank so long as the transactions correspond to the terms indicated in this authorization form.

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