By filling out this form you allow us to direct-debit your bank account each month. This is preferable to other online processing programs as there is no processing fee or other charges. Please carefully fill out the form below:

Full Name (including middle initial if applicable)

How it should legally appear on a tax receipt.

Phone Number

(###)

###

####

Mailing Address (for tax receipt purposes)

Donation Tax Receipts will be sent out in February of the following year.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Bank Account Number

This information can be found on the bottom of your cheques or on a Direct Deposit/Pre-Authorized Debit Form from your bank or online banking website. For those who bank at Credit Union, please use the full number and not just the last 7 digits.

Institution Number/Route

3 numbers (example - Credit Union: 889)

Branch ID/Transit

5 numbers (example - Affinity CU Hague: 13508)

Starting Date

YYYY

Withdrawal Day

Withdrawals happen at 00:00 Central Standard Time (the first minute of the new day)

Donation Amount per Month

If you would like to raise or lower this number in the future please let us know.

Notes:

Signature/Authorization:

By signing below, I authorize Redberry Bible Camp to Direct-Debit my Bank Account monthly for the given amount, until I inform them otherwise. This donation is to be used where needed most unless otherwise stated.

Today's Date

YYYY