Monthly Giving Authorization Form
Thank you for choosing the ACH Monthly Giving Program! Just complete this form to get started!

Here's How Recurring Payments Work:
You authorize regularly scheduled charges to your checking or savings account. You will be charged the amount indicated below each billing period. A charge will appear on your bank statement as an "ACH Debit." We will mail you a receipt at the end of each calendar year detailing your gifts for that year which may be used for your tax records. You agree that no prior notification will be provided unless the date or amount changes, in which case you will receive notice from us at least 15 days prior to the payment being collected.

PLEASE COMPLETE THE INFORMATION BELOW. ALL FIELDS ARE REQUIRED.

I (full name), *
Your answer
authorize Hoover Presidential Foundation to charge my bank account indicated below on the (day of month, i.e. 3rd, 10th) *
Your answer
of each month in the amount of ($ per month). *
Your answer
Billing address: *
Your answer
City, State, ZIP: *
Your answer
Phone Number: *
Your answer
E-Mail: *
Your answer
Account Type: *
Name on Account: *
Your answer
Bank Name: *
Your answer
Bank Routing Number: *
Your answer
Account Number: *
Your answer
Bank City/State: *
Your answer
E-Signature: *
Your answer
Date: *
MM
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DD
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YYYY
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