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ST. MARY OF THE
ANGELS ROMAN CATHOLIC CHURCH
If you wish to make church contributions automatically via electronic transfer, please complete and return this form to the rectory office with a voided check or deposit slip attached.
I authorize St. Mary of the Angels Church of Olean, NY, to electronically deduct from my checking or savings accounts my contributions as follows:
15th of each month
in the amounts as follows:
1st Collection: $______________ 2nd Collection: $______________
I will notify St. Mary of the Angels Church if I change banks or bank accounts by submitting a revised authorization form with a new voided check or deposit slip attached.
__________________________________________________
NOTE: In the case of insufficient funds in your account on the day of the transfer, your bank will consider the failed electronic transfer equivalent to a bounced check, and may charge you a fee.
Your name(s) exactly as it appears on your account!
___________________________________________________________________
___________________________________________________________________
Address: ___________________________________________________________
___________________________________________________________________
Please check one: _______ Checking _______ Savings
If you have any questions or concerns regarding Electronic Funds Transfer, please contact Theresa Raftis at Community Bank in Olean at 376-7211. |