Pre-Authorized Payments
Thank You, we have received your form.
  • Authorization

    I hereby authorize Ebenezer Baptist Church to charge my/our account in the amount indicated below, for pre-authorized payments. This authorization shall remain in effect until I notify Ebenezer Baptist of any changes or that I wish to end this agreement, which I may do at any time, upon written notice or by phone. Please allow three weeks for the authorization to take effect.

  • Amount

  • My Preference is:

  • Please Debit my/our account:

  • Please Provide the following banking information: (Found at the bottom of your cheque)

  • Transit

  • Bank (3 digits)

  • Account

  • Please provide a copy of your void cheque (if possible)