Apply to my existing pledge
Unrestricted Restricted to __________________________Auburn University Foundation
Attention: Tammy Beck Hartwell
317 South College Street
Auburn, AL 36849
| AUBURN UNIVERSITY FOUNDATION ELECTRONIC BANKING DRAFT AUTHORIZATION FORM |
| This Gift Is To Be Used As Follows: | |
| Apply to my existing pledge |
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| Unrestricted |
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| Restricted to __________________________ |
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| (This payment method currently unavailable for Tigers Unlimited programs) | |
| Return Completed Form and Voided Check To:
Auburn University Foundation Attention: Tammy Beck Hartwell 317 South College Street Auburn, AL 36849 |
| ELECTRONIC BANKING DRAFT AUTHORIZATION FORM |
| Thank you for inquiring about the Auburn University Foundation Electronic Fund Transfer (EFT) program. This authorization to draft your account on or about the 10th of each month will remain in effect until the Auburn University Foundation receives written notification of termination of this agreement. Your monthly bank statement will adequately describe this draft when it occurs. Please anticipate the first draft approximately 30 to 45 days after this authorization has been received by Auburn University Foundation |
| AUTHORIZATION AGREEMENT FOR PRE-AUTHORIZED DRAFTS |
| I(we) hereby authorize the Auburn University Foundation to initiate debit entries to my (our) bank account indicated below, and I (we) authorize the financial institution named below to debit the same to such account. |
| Financial Institution | ______________________ | Branch | _________________ |
| City | _________________________ | State | _______________ | Zip | _______________ | ||||||||||||||||||||||
| Transmit/ABA no. (omit if uncertain) | _________________________ | Account No. | ___________ |
| Amount to Debit Per Month (minimum $25 per month)$ | _________________________________ |
| This authority to remain in full force and effect until Auburn University Foundation has received written notification from me (or either of us) of its termination in such time and in such manner as to afford Auburn University foundation opportunity to act on the notification. |
| Name(s) | _______________________________ | Phone No. | ___________ |
| Date | _________ | Signed | __________________________ | Signed | ________________________________ |
| PLEASE INCLUDE VOIDED CHECK |