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AUTOMATIC WITHDRAWAL AUTHORIZATION

 

I will contribute in proportion to what I have received:

$_____________Weekly / Monthly / Annually

                       Circle one


I hereby authorize the Church of St. Edward (Bloomington, MN) to automatically withdraw my offering from:

        __________________________________________________________

                         Name                            Financial Institution

___________________________   ___________________

Account Number                      Withdrawal Date(s)

 

 

I have enclosed a VOID CHECK to provide the necessary routing information.  This authorization will remain in effect until I notify St. Edward’s in writing to cancel or change the terms or I notify my financial institution at least 3 days before my account is to be charged.

Fold in thirds and place in offering basket or hand to an usher.  Thank you!

 

 
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