Direct Debit

Direct Debit

With Direct Debit, your monthly contribution is automatically deducted from your checking or saving account on the 15th of the month and/or at month end. Your contribution is then directly deposited into Lord of Life’s account. Your monthly bank statement will list your contributions. Lord of Life will send you a statement of your giving so that you can check this against your bank statement. You may change or cancel Direct Debit at any time. If you have any questions about Direct Debit, contact Sandie Saar at 763.420.5015 x101 or email sandie@lordoflife.org.

* Required

First Name(s) *

Last Name *

Email Address *

Beginning on (enter mm/dd/yy) *

Please withdraw $ (enter dollar amount) per month from my account *

Account withdrawals will be made on the 15th of each month and/or the last business day of the month. Please indicate your preferences: *
Debit my account on the 15th
Debit my account at month end
Debit my account on both the 15th and at month end with the dollar amounts indicated below

Enter dollar amount to be withdrawn on the 15th and at month end. Example: $50 (15th) $50 (month end) *

Authorization

I/we authorize Lord of Life Lutheran Church of Maple Grove to initiate entries to debit my/our account as described below. This authority is to remain in full force and effect until Lord of Life Lutheran Church has received written notification from me/us of its termination in such time and manner as to afford Lord of Life a reasonable time to act on it. *
I/we agree
I/we disagree

Checking account #

OR
Savings account #

Financial institution name and address *

Please mail or drop off a voided check, to the attention of Sandie Saar.