By submitting this form I hereby authorize St. Paul’s to debit my account monthly in the amount I provide by submitting this form from the Financial Institution named below on or after the 20th of each month of to fulfill my Annual Giving pledge.
This authority will remain in effect until 12/31 of the current year. Cancelations prior to 12/31 of the current year must be made in writing to the St. Paul’s Bookkeeper
Be sure to send the church a VOIDED check after submitting this form.
*PLEASE NOTE: Draft authorization is valid for the current year only. Renewals will not automatically occur.
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St. Paul's Episcopal Church
1444 Liberty Street SE, Salem, OR 97302
Phone: 503-362-3661 Fax: 503-363-3334
email: firstname.lastname@example.org Diocese of Oregon