Direct Deposit Form

Please print and complete the form below and return it to the address listed on the form. Thank you so much for your investment in our work!

Please help TLC manage our finances by signing up for Automatic Monthly Giving

Name on Account______________________________________________

 

Name of Bank or Credit Union____________________________________________

 

Routing Number________________________________

 

Account Number_______________________________________________ or attach a voided check to this form

 

I would like to support Tree of Life Community Inc. with a monthly gift of $________________.

Please deduct this amount from the above account beginning____immediately or during          ___________(month)

 

_____Make my deduction early in the month (on or about the 3rd)

_____Make my deduction in mid-month (on or about the 15th)

_____Make my deduction late in the month (on or about the 25th)

 

Today’s Date___________________

 

Signature of Account Holder_______________________________________________________________