SET UP A PRE-APPROVED DEBIT FORM

ImpactHope is committed to excellent stewardship of the resources we are given. This form allows you to make a REGULAR MONTHLY GIFT via a Pre-approved Debit Form (PAD) from the bank account of your choice. Recurring donations can be set up through an automatic withdrawal to occur on or about the 1st of every month or the 15th of every month, or both. Please indicate your preference in the form below.

With a PAD donation to ImpactHope, you preserve control of your giving. You can update your donation amount or designation, cancel your donation, or change bank accounts at any time. Fill out the form below, and we’ll contact you as soon as possible!

Last Name

First Name

Address

City

Province/State

Postal Code/Zip Code

Country

Phone Number

Bank Branch Number (5 Characters)

Bank Number (3 Characters)

Account Number (7-12 Characters)

Donation Amount

Designation(s)

What Date Can This PAD Start? (1st or 15th)

I want an automatic withdrawal on the 1st AND 15th of every month.

I agree to have the above amount deducted from my Bank Account as a donation to ImpactHope. (NOTE: The debit of your account will be on the 1st of every month or the 15th of every month, or both.)

Upload Void Cheque (Please include a copy or a photo of a Void Cheque.)

ImpactHope

Office: 203 – 121 Wyndham St N Guelph, ON

Mailing Address: P.O. Box 211 Stn Main, Guelph, ON N1H 6J9

SET UP A PRE-APPROVED DEBIT FORM

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Tatiana's Story

SET UP A PRE-APPROVED DEBIT FORM

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Tatiana's Story