rint, fill out and mail this form to begin automatic monthly donations to Eric Elder Ministries.

Electronic Funds Transfer (EFT) Agreement

Eric Elder Ministries
Electronic Funds Transfer Agreement

Thank you for choosing to partner with us in helping others.  By filling out this form, your monthly donation to Eric Elder Ministries will be automatically transferred from your checking or savings account.  Please print this form, then complete and mail it to:  Eric Elder Ministries, 25615 E 3000 North Rd, Chenoa, IL 61726.

Name:                  ________________________________

Address:               ________________________________

City, State, ZIP:     ________________________________

Monthly Gift Amount:   $________

Time of month you would like us to debit your account (check one):

     ___ 1st of each month         ___ 15th of each month

Financial Institution’s Name:      _________________________________

Account Type (check one):       ___ Checking     ___ Savings

Routing (ABA) Number*:         _________________________________

Account Number*:                   _________________________________

*These are located at the bottom of your checks as shown below:

I hereby authorize Eric Elder Ministries and my financial institution (as specified above) to charge the amount specified above each month. I agree to notify Eric Elder Ministries, in writing, of any changes or cancellation at the following address: 

Eric Elder Ministries
25615 E 3000 North Rd
Chenoa, IL 61726

I understand that this agreement remains in effect until I provide written notice.

Signature: ____________________________      Date:  _________________