Simply Giving Authorization Form
Your generosity is making a difference!
Email address *
First & Last Name *
Your answer
Email Address *
Your answer
Date of First Donation *
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DD
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Frequency of Donation
Funds:
General Fund Amount
Your answer
Building / Capital Campaign Amount
Your answer
I'd like to give with my
Check Sample
Bank Account Routing Number (if using checking)
Your answer
Bank Account Number (if using checking)
Your answer
Debit/Credit Card Brand
Debit/Credit Card Number
Your answer
Expiration Date
Name on Card
Your answer
Billing Address
Your answer
I Authorize First Lutheran Church to process transactions in accordance with the information above. *
Required
Today's Date
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