GCA EFT form .pdf

File information

Original filename: GCA_EFT_form.pdf
Title: Microsoft Word - GCAEFTform.docx
Author: apple

This PDF 1.3 document has been generated by Word / Mac OS X 10.8.5 Quartz PDFContext, and has been sent on pdf-archive.com on 15/03/2017 at 06:14, from IP address 216.137.x.x. The current document download page has been viewed 422 times.
File size: 87 KB (2 pages).
Privacy: public file

Download original PDF file

GCA_EFT_form.pdf (PDF, 87 KB)

Share on social networks

Link to this file download page

Document preview

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

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Amount $____________ to be withdrawn: (check one) Monthly_______ Quarterly_______ Annually______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

Document preview GCA_EFT_form.pdf - page 1/2

Document preview GCA_EFT_form.pdf - page 2/2

Related documents

gca eft form
credit card auto pay form 1
credit card auto pay form 2
estmt 2017 03 31 1
repagreement us
ra request form submit

Link to this page

Permanent link

Use the permanent link to the download page to share your document on Facebook, Twitter, LinkedIn, or directly with a contact by e-Mail, Messenger, Whatsapp, Line..

Short link

Use the short link to share your document on Twitter or by text message (SMS)


Copy the following HTML code to share your document on a Website or Blog

QR Code

QR Code link to PDF file GCA_EFT_form.pdf