Set Up a New Pre-Approved Donation

 

To Set Up a new Pre-Approved Donation, please complete the form below. You can also fill out a paper form at the church office if you prefer. 

To make a change to an existing Pre-Approved Donation, please click this link.

Today's Date *
Today's Date
What Would You Like To Do? *
What is the frequency for your donation *
The first donation is to begin on: *
The first donation is to begin on:
Please allow 3-5 days for the first donation to be processed
Please use a decimal point and cents (i.e. $25.00)
$
Usually 5 digits
Usually 3 digits
Can be 5 to 12 digits, usually 7-8 digits.
This donation is made on behalf of *
Name *
Name
A charitable donation receipt will be provided to this person at the end of the calendar year.
Joint Account Name
Joint Account Name
If your account is a joint account, please provide the name of the second person.
Address *
Address
Phone *
Phone
I would like to receive news and information about Grand Valley Church via email. *
Terms and Conditions *
I have read and agree to the following conditions: This authorization will be in force until I/We give Grand Valley Community Church written notice, at least 30 days in advance, to end the PAD (pre-authorized debit), otherwise called automatic withdrawal. I/we may revoke my authorization at any time, subject to providing notice of 30 days. To obtain a sample cancellation form, or for more information on my right to cancel a PAD Agreement, I/we may contact my financial institution or visit www.cdnpay.ca. I/we have certain recourse rights if any debit does not comply with this agreement. For example, I/we have the right to receive reimbursement for any debit that is not authorized or is not consistent with this PAD Agreement. To obtain more information on my recourse rights, I/We may contact my financial institution or visit www.cdnpay.ca.