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| Whenever the
Mission appeals for a special project and that need is met,
the remainder of funds goes into our general operating funds
to provide programs and services for our homeless men, women
and children. |
|
Your entire contribution is received by the Merced
County Rescue Mission. Your continued support is
greatly appreciated.
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ELECTRONIC FUNDS TRANSFER (EFT) FORM
Please
print this form, fill
it out completely and mail to:
Merced County Rescue Mission,
PO Box 3319, Merced, CA 95344.
____ Check here for any change(s) to your existing EFT
Your contribution
will be deducted on the 20th of each month.
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Name: |
__________________________________________________________________ |
|
Address: |
__________________________________________________________________ |
|
City: |
__________________________________________________________________ |
|
State, Zip |
__________________________________________________________________ |
|
Home Phone |
(________)
________________________________________________________ |
|
Start Month
of: |
____________________________________________,
____________________ |
|
Monthly contribution
amount: |
$____________________________________________ |
|
Bank Name (If from bank
acct.): |
_____________________________________________ |
|
Bank Phone Number: |
(________) ___________________________________ |
|
Bank Statement Account
#: |
_____________________________________________ |
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From my: |
Checking Acct.
__________ or Savings Acct. ____________ |
I give my bank permission to
transfer the stated amount of funds from my account as a
contribution to the Merced County Rescue Mission. I have
read, understand and agree
with the Agreement for EFT Applicants (below), and have attached
my voided blank
check or saving deposit slip (or copy) to this form.
Signature:
_________________________________________________________________________
Date:
_____________________________________________________________________________
To
ensure accuracy, please attach VOIDED check for checking or
deposit slip for
savings.
Agreement for EFT Applicants
This permission to charge my bank account is the same as if I
had personally signed a
check to the Merced County Rescue Mission. This agreement
will remain in effect until I
write a note, call, or email the Merced County Rescue Mission
telling them to end this
agreement and they have had a reasonable amount of time
to act
on it.
In the event of an error, I have the right to tell my bank to
reverse any transfer. However, I
must tell them in
writing within 15 days of the bank statement
or within 45 days after the
transfer was made.
I understand and agree that my bank is responsible for the
accurate and timely posting of
my transferred gift.
In the event of an error, I will
handle this problem directly with the
Merced County Rescue Mission. |
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