Electronic Funds Transfer


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Authorization Agreement for Pre-Arranged Payments To First Presbyterian Church Using the Hubbard Press I/we hereby authorize The Hubbard Press to initiate debit entries to my/our checking account at the depository named below, to debit the same to such account. Depository Name _______________________________________________________________ (Your Bank) City _______________________________________ State ________________ Zip __________ Amount to be withdrawn on the 20th of every month $ _______________________________ This authority is to remain in full force and effect until The Hubbard Press has received written notification from me/us of its termination in such time and in such a manner as to afford The Hubbard Press and Depository a reasonable opportunity to act on it. I/we have the right to stop payment of a debit entry by notification to the Depository. (On a joint account, both parties should print and sign their name below) Name (please print) _____________________________________________________________ Signature _____________________________________________________________________ Name (please print) _____________________________________________________________ Signature _____________________________________________________________________ Street Address _________________________________________________________________ City _______________________________________ State ________________ Zip __________ Phone (home) ___________________________ Phone (work) __________________________

Please attached a voided check here