Auto Payment (ACH or CC) AUTHORIZATION FORM
This form allows KFI Members to choose and / or update auto pay option that authorizes Knoxville Flyers, Inc. to either withdraw funds from a designated account (ACH) or make a charge against a specific debit or credit card account (CC).

This information can be see by only the Treasurer of the Knoxville Flyers. Upon submission, the Treasurer is notified and will remove the information from the Google Drive and store in an encrypted file location off line.

KFI Member's Name or Propsective Member's Name (Full Legal Name - First, Middle & Last) *
This form to be used by existing members to renew or change their auto payment plan. This form is to be used by prospective new members and must be submitted prior to acceptance in the club.
Your answer
Account Holders Name *
(List exactly as it is defined for the account or card) - First, Middle & Last As Appropriate
Your answer
KFI Member ID# *
Unique ID# assigned to existing members. Found on members monthly statement at end of members name, four digit number. IF NOT A MEMBER USE "0000"
Your answer
Auto Payment Plan *
Please choose an auto payment plan.
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms