Westview Bible Church

Pre-authorized donations

Click here for a PDF version of this form.

I/we authorize the following specified funds to be debited from my/our bank account by Westview Bible Church (“Westview”). I/we authorize this withdrawal for general for general tithes/donations. I/we understand that this amount shall be used by Westview in support of the general of the church.

In addition to filling out this form, you will also need to email a copy of a voided cheque to donations@westviewmontreal.org. We need the cheque before we can set up pre-authorized donations for you.

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

This donation is made by:

An Individual

A Business

If you checked "Business", indicate full legal name of business

I am part of the Spanish Congregation

I/we authorize the following institution to debit my/our bank account in the following amount payable to Westview Bible Church following the chosen frequency below.

Frequency of debit:

Weekly

Bi-Weekly (every 2nd week)

Semi-Monthly (twice a month)

Monthly

Day of week/Date(s) of month

Name of Financial Institution

Branch

Account #

Date

Signature

If a joint account, second signature required