Authorization Form           

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On-Line Giving
 

 

AUTHORIZATION FOR ON-LINE GIVING

SIGNATURE

DATE

NAME (PRINTED)

STREET ADDRESS

CITY

STATE                                       ZIP

PHONE

EMAIL

         

 

 

CONTRIBUTION INSTRUCTIONS 

FREQUENCY:     ONE TIME                                  $ _____________            DATE ______________

                       RECURRING EACH MONTH            $ _____________ 1ST      $ __________________ 15TH

General Tithes/Offerings

Amount:

General Missions Fund

Amount:

Thompson - East Africa

Amount:

Britnell      - Prison Ministry

Amount:

Hawthorne - S. E. Asia

Amount:

Hughes       - Thailand

Amount:

Benevolence (Help For The Needy)

Amount:

Other:

Amount:

COMMENTS:

                 TOTAL:

FINANCIAL INFORMATION

          Please Circle if Checking or Savings                   Checking   (Attach Voided Check)          Savings 

NAME ON ACCOUNT

BANK NAME

ROUTING NUMBER

ACCOUNT NUMBER

                                                

Please print, complete, and mail form to:
Christian Life Church
4401 Avalon Blvd.
Milton, FL 32583

Questions? Please call 850-623-4017