PRE-AUTHORIZED GIVING FORM

Thank you for signing up to make pre-authorized donations to the ministry of Talbot Street Church!

Please fill out this form and click submit.
I/We authorize Talbot Street Church in London, ON to automatically withdraw my monthly giving.
 
 
 
 
 
 
I/we authorize Talbot Street Church to debit my/our account as follows;
 
 
Please select all that apply.
 
 
 
Enter your banking information below: 
(see graphic for guidance)

 
 
 
I/We agree to the following:

1.  I/We will notify Talbot Street Church in writing of any changes in the account information or termination of this authorization at least 30 days prior to the next payment date.
2.  My/our financial institution will treat each debit as if I/we had personally issued a direction authorizing Talbot Street Church to debit my/our account.
3.  I/we understand that any debits charged to my/our account will be reimbursed if: a) the debit was not drawn in accordance with this authorization; b) this authorization has been terminated; or c) the debit was posted to the wrong account due to invalid/incorrect account information supplied by Talbot Street Church.
4.  I/we acknowledge that submission of this authorization to Talbot Street Church constitutes submission to my/our financial institution.  


Please select all that apply.
 

Description

Thank you for signing up to make pre-authorized donations to the ministry of Talbot Street Church!

Please fill out this form and click submit.