Austin New Church Electronic Giving Authorization
This form authorizes ANC to debit your checking account for electronic giving.
Bank Routing Number
How many debits would you like ANC to make?
Monthly for 12 month
Monthly until I instruct otherwise
When would you like us to debit your account?
1st of the month
15th of the month
I prefer this day of the month
What amount would you like to be withdrawn on the above dates? (do not include the $ sign. Example 108.25)
Questions or instructions?
By checking the box, you are authorizing ANC to debit your account according the parameters above.
I'm good with it!
Do Not Fill This Out