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Test Bank Automatic Withdrawal Form
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Under Development
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Please have
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automatically withdrawn from my checking account on (choose one).
Withdrawal date(s)
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1st of the month
15th of the month
1st and 15th of the month
I understand that the monies will automatically be deposited in the St. Augustine Church Account and will be credited to me for tax purposes.
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Bank Routing Number
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9-digit number to the left of the account number
Your Checking Account #
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Name
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Address
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City
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