I (we) hereby authorize Saint Paul United Methodist Church (Saint Paul UMC) to initiate debit entries and to initiate, if necessary, credit entries and adjustments for any debit entries in error to my (our) checking or savings account (please specify below) and the financial institution named below to debit and/or credit the same to such account.

Which Account?

Please ensure that the next two entries are accurate.

(This is the first set of numbers at the bottom of your check)
(This is the second set of numbers at the bottom of your check)

This authority is to remain in full force and effect until Saint Paul UMC has received written notification from me (or either of us) of its termination in such time and in such manner as to afford Saint Paul UMC and my financial institution a reasonable opportunity to act on it.

Which Fund?
If choosing monthly, I/we would like the debit to occur every month on the: