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ACH Form

Address*

,  

( )   -

Member Authorization*

Annual Contribution*

If Monthly, please choose the date to draft:

Account Information*

*

I authorize First United Methodist Church - Lufkin and Vanco Services, LLC to process debit entries to my account. I have attached a voided check or savings deposit slip. This authority is to remain in full force and effect until FUMC has received written notification from me (or either of us) of its termination in such time and in such manner as to afford First United Methodist Church - Lufkin & Vanco a reasonable opportunity to act on it.

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