PRE-AUTHORIZED DEBIT AUTHORIZATION Phone I hereby authorize Assembly Of The Living Yahweh to electronically debit my account. Donor Name (Please print): * Donor Phone Number: * Donor Email: * Donor Mailing Address: * Bank Name: * Bank Address: * Account (Please Select) * Cheque AccountSavings Account Account No: * Sort Code: * Frequency of Donation (Please Select) * 1st Day of Each Month15th Day of Each Month Amount (£): * Date: * Spread the Word - Share Facebook WhatsApp Twitter Pinterest LinkedIn Reddit Email
