Pre-Authorized Monthly by Chequing

*Denotes Required Field * Title

This form is to be completed by donors wishing to make a monthly donation to FEB Central Ministries.

On or around the 15th of each month your requested contribution will be drawn automatically from your bank account.

You can make changes or cancel donations at any time, by emailing: accounting@febcentral.ca

Receipts are issued on an annual basis by Email. Check this box if you would prefer a physical copy mailed to you.

Personal Information (for receipting purposes)

* Donor Information

* Organization Name

* First Name

* Middle Initial

* Last Name

* Street Address

* City

* Province

* Postal Code

* Phone Number ( ) -

* Email

Please indicate where to direct your donation.

FEB Central General (Stronger Together) Fund

Amount Per Month $

FEB Central Designated Support

Please select the designation:

Amount Per Month $

FEB Central Church Planting General Fund

Amount Per Month $

To A Specific Church Plant or Apprentice

Please Specify Which Church Plant or Apprentice:

Amount Per Month $

Sample Cheque

* Financial Institution Number

* Transit Number

* Account Number

* I Would Like My Contribution To Begin:

I Authorize FEB Central To Debit My Account On The 15th Of Each Month Until Further Notice.

* Signature

Use your finger or mouse to sign in this box.

* Date