First United Methodist Church of Bentonville - Authorization Agreement for Direct Payments (ACH Debits)

Authorization Agreement for Direct Payments (ACH Debits)

I/We authorize First United Methodist Church \| Downtown Bentonville to initiate debit entries to my/our account at the depository financial institution named below.
Your Name(s)	*
Bank Name	*
Type of Account	*
Bank Routing Number	*
Bank Account Number	*
Please debit my account	*
I authorize First United Methodist Church \| Downtown Bentonville to debit my account this amount each week/month.	*
To revoke this authorization contact the church office at 479-273-2712 or in writing to 201 NW 2nd Street, Bentonville, AR 72712
Your Email Address	*