Recurring Bank Donation (ACH)
By providing the following information and signing below, you authorize regularly scheduled charges to your checking/savings account. You will be charged the amount indicated below each billing period.
I
authorize HOLY NATIVITY COPTIC ORTHODOX CHURCH from my bank account the amount of
$
on the
of each
(week, month, year, etc.).
These payments are donations to the church and shall be deposited in the Holy Nativity Coptic Orthodox Church bank account with Chase Bank.
Billing Information
Bank Details
I understand that this authorization will remain in effect until I cancel it in writing, and I agree to notify Holy Nativity Coptic Orthodox Church in writing of any changes in my account information or termination of this authorization at least 15 days prior to the next billing date. Written notice shall be sent via e-mail to frraphaelmaher@gmail.com.
If the above noted payment dates fall on a weekend or holiday, I understand that the payments may be executed on the next business day. For ACH debits to my checking/savings account, I understand that because these are electronic transactions, these funds may be withdrawn from my account as soon as the above noted periodic transaction dates. In the case of an ACH Transaction being rejected for Non-Sufficient Funds (NSF) I understand that Holy Nativity Coptic Orthodox Church may at its discretion attempt to process the charge again within 30 days, and agree to an additional $30.00 charge for each attempt returned NSF which will be initiated as a separate transaction from the authorized recurring payment. I acknowledge that the origination of ACH transactions to my account must comply with the provisions of U.S. law. I certify that I am an authorized user of this bank account and will not dispute these scheduled transactions with my bank, so long as the transactions correspond to the terms indicated in this authorization form.
