Direct Deposit Authorization From

Electronic Fund Transfer for Sunday Contributions

Parishioners, who give regularly, now have the option of having their contributions automatically deducted from their bank account by Electronic Fund Transfer. And if you prefer weekly envelopes, we can still provide you with envelopes that designated that the contribution was done electronically. You can place these envelopes in the basket each week while having your donation electronically transferred. Remember that this transfer covers Sunday Collections only, special collections and Holy days are not covered and these envelopes will still be sent to you if you wish. If you would like to participate in this economical and convenient way to support the parish, please fill out the form below and return it to the parish office. Then, starting as soon as possible after receiving, your gift will be automatically deducted at the frequency you choose. If you have any questions about Electronic Fund Transfer, please call the parish office at 587-4201 and ask for Mary Enneking.

AUTHORIZATION AGREEMENT FOR DIRECT PAYMENTS Contribution and Envelope Information

Amount of Electronic Contribution $______Your Current Envelope #______

(Check one) Once Electronic Fund Transfer begins, please send me Special envelopes only. Once Electronic Fund Transfer begins, continue to send me all envelopes.

Frequency of Contribution: (Check One) Weekly (transaction will happen each Monday) Bimonthly (transaction will happen on the first and third Monday of each month) Monthly (transaction will happen on the first Monday of each month)

Bank/Credit Union Information Your name as shown on financial institution records______

Bank Name Branch

City State Zip

Telephone #

Type of Account: (Check One) Routing Number______Checking Savings Account Number______

I authorize St. Mary Catholic Church to deduct funds from the account at the financial institution named above. This authorization is to remain in effect until I revoke it by providing a written notice to St. Mary Parish with attention to Mary Enneking.

Signature: ______Date: ______

Name: ______Daytime Phone#______