AUTOMATIC BANK DRAFT AGREEMENT Business Office: 1320 Main Street Houston, TX 77002-6803 Office: 832-668-1826 / Fax: 713-752-2316 E-mail ksprague@fmhouston.com First Methodist Houston is requested and authorized to debit your financial institution or to initiate electronic funds transfer on the 15th and last day of each month beginning _____________________ through December 31, ________ for the purpose of paying your pledge. The amount withdrawn will be allocated in accordance with your pledge card unless otherwise specified in the “Special Instruction” portion of this agreement. Amount of withdrawal on the 15th: $______________ amount of withdrawal on last day of month: $_______________. You can also have one debit monthly on the last day of the month, if you prefer this option please put the amount to be debited at the end of each of each month here: $______________
_______________________________________ (Authorized Signature – Bank Account Holder)
_______________________________________ (Authorized Signature – Bank Account Holder)
Important: A voided blank check for checking accounts or a deposit slip for savings accounts is required. PLEASE PRINT:
Name(s): Address: Phone Number(s):
Day:
Evening:
E-mail Address: Type of Account:
Checking
Savings
Financial Institution: ______________________________________________________________ Account Number: _________________________ Bank Routing Number: ___________________ Name of Bank Account Holder: _____________________________________________________ Special Instructions: _______________________________________________________________ Return upper portion to the Business Office
Retain the bottom portion for your records
You have elected to pay your pledge by monthly deductions payable through your financial institution. To enjoy the benefits of this convenient method of payment, we suggest you review the following: • • •
• • •
Each month, deduct the amount from your account balance. You may wish to attach a reminder to your account until this practice becomes automatic. A canceled check or other notification of a charge to the account will be provided by your financial institution with your periodic statement. Compare the records when the statement is received. If your financial institution deducts the amount from your account via the Electronic Funds Transfer System, you will notice that your monthly statement lists the debit to your account and identifies it as “First United Methodist Church” or “First Methodist Houston” in lieu of sending you a canceled check. First Tuesday of the month was selected due to bank holidays occurring on Mondays. Please provide us with advance notification of any change in your banking arrangements. If advance notification cannot be provided, sufficient funds should be left in the old account to honor charges until our records are changed. Please inform us of any change in name or address.
For your records: $_____________ will be withdrawn from my checking/savings account (circle one) on the 15th of each month and $__________ will be withdrawn at the end of each month until December 31, __________ for the purpose of paying my pledge. The amount withdrawn will be allocated in accordance with my pledge card.