541-753-2228

[email protected]

114 SW 8th Street Corvallis, Oregon 97333

Electronic Funds Transfer Form The authorization form below is also available on the website (under the online giving tab) or from the church office. If you are continuing from a prior year, we do not need another cancelled check, but we do need something in writing from you indicating the amount you wish to contribute, and that you wish to continue the transfers in 2018. (An email will work as well.) The authorization form is for one year only, and can be changed at any time with enough advance notice. If you have any questions, please contact either Marcia Males ([email protected] ).

AUTHORIZATION FOR ELECTRONIC FUNDS TRANSFER (EFT) 2018 I hereby authorize the First Presbyterian Church, Corvallis, Oregon, to transfer FOR THE GENERAL FUND BUDGET 2018 $___________ directly from my __ checking account/ __ savings account (select one) indicated below on the days I have indicated below. _____ the first week of each month of 2018. _____ the last week of each month of 2018. This authorization is to remain in full force and effect until the First Presbyterian Church has received written notification from me of its termination in such time and in such manner as to afford the First Presbyterian Church a reasonable opportunity to act on it. Your Name: ___________________________________________

Phone: ___________________

E-mail address ________________________________________ Signature: _____________________________________________ Date: ____________________ *** Staple appropriate document here. For withdrawal from a checking account, you must attach a voided check. A deposit slip is not acceptable. For withdrawal from a savings account, you must attach a deposit slip. Bank Name: ________________________________________________________________________ City: __________________________________________

State: ________

Zip: __________

PLEASE RETURN COMPLETED FORM TO THE CHURCH OFFICE.