“HAVE THE PEOPLE RECLINE”

ST. ANDREW THE APOSTLE CHURCH

ELECTRONIC FUNDS TRANSFER AUTHORIZATION

I authorize St. Andrew the Apostle Catholic Church to initiate

electronic withdrawals from my checking account as indicated below. 

These withdrawals shall apply to my Sunday offertory contribution to

St. Andrew.  This authority shall allow the financial institution named

below and on the attached check to permit withdrawals from my account

in accordance with these instructions.  This authority shall remain in full

force and effect until I give written notice to St. Andrew to terminate

electronic withdrawals, which notice shall take effect 10 business days

after receipt by St. Andrew.

Signature ______________________________________ Date ________________

Print Full Name _____________________________________________________

Home Address _______________________________________________________

Home Telephone ___________________   Email ___________________________

Bank _______________________   Account Number _______________________

Amount to be deducted from my account once each month  $_______________. 

Monthly deductions will occur on the first business day of each month.

Month I would like to begin my dedeuctions from my account ___________________.

Important:  Please include a voided check in order for us to process your EFT Authorization.

If you are a parent of a SESEAS student, please continue to drop your Sunday envelope in the collection basket each week.

*** Please note:  You may continue to use your envelopes for Christmas, Holy Days and Special Collections. 

(THIS CANNOT BE SENT ELECTRONICALLY.)