GCA EFT form .pdf

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GREAT COMMISSION ALASKA
Automatic Contribution Form

Electronic Funds Transfer (EFT) Service
If you wish to contribute monthly to the work of Great Commission Alaska, and prefer
having your gift automatically transferred from your checking account, we offer a
convenient EFT service. This free service is easy to set up. Simply complete the form
below and return it to us. Your tax-deductible gift to Great Commission Alaska will be
transferred on the 10th or 25th of each month, and each gift will be receipted.
Note: Your EFT authorization remains in effect until you notify Great Commission Alaska that you wish to
end this arrangement, which you may do at any time by calling 907.892.3400 or emailing
gca@akmission.org.

Please complete and mail this form, along with your voided check.
Name_____________________________________________ Email_____________________________________
Address____________________________________________ Phone___________________________________
City______________________________________ State_______________ Zip____________________________
Amount $____________ to be withdrawn: (check one) Monthly_______ Quarterly_______ Annually______
Bank Name_________________________________________
Please check one: I prefer a transfer date of the 10th_________ or 25th__________ of each month.
Please begin billing (mm/yy) ________________
Please use my contributions for the following GCA missionaries: Evan & Kristie Burns

I authorize an automatic Electronic Funds Transfer (EFT) from my checking account. This
authorization shall remain in effect until I notify Great Commission Alaska that I wish to
end this arrangement, which I may do by calling or emailing Great Commission Alaska.
Signature ___________________________________________ Date_________________________________

Mail this form and your voided check to:
Great Commission Alaska, PO Box 521284, Big Lake, AK, 99652
For questions, call 907.892.3400 or email gca@akmission.org
www.akmission.org


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