EFT Request - English

Inspiracom EFT Setup

Electronic funds transfer (EFT) is an automatic gifting program providing you with a convenient and ongoing way to support this ministry. By using an EFT, your gift is transferred automatically from your bank to us on the 15th of each month or next business day. The transfer will show up on your bank statement as "World Radio Network, Inc." and we will send you a receipt for each gift received.
Authorization Agreement for Automatic Payment
I (we) authorize the World Radio Network, Inc., to initiate debt entries in my (our) account described below:
Select Ministry*
Please select one of our ministries
Gift Designation*
The specific department or project you want to support
Financial Institution Name*
Financial Institution Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Bank Routing Number*
Checking Account Number*
Monthly Gift Amount
Withdrawn on the 15th of each month
This authority is to remain in full force and effect until World Radio Network, Inc. has received written notification from an authorized individual of its termination in such time and manner as to afford World Radio Network, Inc., a reasonable opportunity to act on it. All donations to World Radio Network, Inc., will be transacted on the 15th of each month, or the next business day. ** It is the donor's responsibility to notify World Radio Network, Inc. if the account needs to be closed, paused, or information altered. **
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Email*
example@example.com
Signature*

Clear
Should be Empty:

Inspiracom EFT Setup

Authorization Agreement for Automatic Payment