PBC Request for Automatic Payments for Online Giving
Please complete this form to request automatic payments for online giving. *Please note: You must make an initial Online Giving transaction at the exact amount you wish to use for automatic payments AND select the "recurring billing" button on the payment page BEFORE we can complete the process.

Once submitted, the Church Office will contact you by phone to complete the setup. You will not be required to provide any financial information over the phone.

Name *
Your answer
Address *
Your answer
Phone *
Your answer
Email
Your answer
How often would you like to give your tithe/gift? *The office will contact you to specify the actual day. *
Please specify the $ amount you would like your card to be charged each time. *You must make an initial Online Giving transaction at the exact amount you wish to use for automatic payments before we can complete your request. Please note: No automatic transactions will be started until we confirm all information with you. *
Your answer
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