Automatic Giving ACH Form
First Christian Church of Newburgh
Automatic Debit Authorization

I (we) hereby authorize First Christian Church of Newburgh, hereinafter called Church,
to initiate debit entries to my (our) account and the financial institution named below, hereinafter called Financial Institution, to debit the same to such account for tithing.
I (we) acknowledge that the origination of ACH transaction to my (our) account must comply with the provision of U.S. Law.

Please sign the form below using the S-signature format, your name in between two forward slashes. (Example /John Doe/)

NOTE: for joint accounts, all owners must sign form.