Recurring Auto-Bank Draft Authorization
Artists for Community Transformation Intl
Please provide the information requested below for the bank account you are authorizing A.C.T. Intl to use for this recurring donation.
Name of department or Staff Person you are supporting
Donor First Name
Last name
Donor Address 1
Address 2
City
State
Zip
Donor Email address
Phone Number
Bank Name
Routing Number
Account Number
Type of Account
Checking
Savings
Which day would you like the withdrawal to occur? (please choose one)
On the 5th (first business day following if a weekend or bank holiday)
On the 20th
(first business day following if a weekend or bank holiday)
Date that you'd like the recurring donation to begin (allow for at least 5 business days from date of submission of this form for beginning date.)
Amount of donation USD
Enter comments or questions here
I understand that by submitting this request that I am authorizing Artists for Community Transformation Intl to make automatic bank draft donations to the ministry I have chosen to support.
PLEASE CHECK THIS TO CONFIRM
Artists for Community Transformation Intl
https://www.artistsforcommunity.org/
PO Box 1966, Brentwood, TN 37024-1966
615-447-2149
info@artistsforcommunity.org
Contact Information