HERE’S A BRIGHT IDEA FROM
NORTH LAKE PRESBYTERIAN CHURCH

Are you tired of remembering to pay your weekly or monthly donation? North Lake Presbyterian Church is now offering direct debits. This is a benefit to you and eliminates you from having to write a check. Direct debit is fast, safe and reliable. To take advantage of this new benefit, enroll below.

BB&T BANK

Authorization Agreement For Pre-Authorized Payments (ACH Debits)

Company ___________________________________ Location ______________________________

I authorize the above named Originating Company to initiate debit entries or adjustments

for any debit entries to my (our) checking account listed below.

Financial Institution Name *Transit / ABA No. Account No. Type of Account

_________________________ _________________________ CHK SAV

Location ___________________________________________________ ______________

The authority is to remain in full force until the company has received written notification from me

(or either of us) of its termination in such manner as to afford the company a reasonable opportunity to act on it.

Name (s) __________________________________ ID Number ___________________________

Date __________________________________ Signature _____________________________

Nine digit routing number that appears on the bottom of a check (include a voided check with application)

___________________________________________________________________________________________
Please send this form to the church office at 975 Rolling Acres Rd., Lady Lake, FL 32159. (352)753-8484.