giving@greenville.edu

Automated Giving Program

 Return to Automated Giving Program Information

Please complete and mail w/ voided check or savings deposit slip to: Office of Advancement, Greenville College, 315 E. College Ave., Greenville, IL 62246

Member Information:
Member Name:
Member Address:
 City:
 State:
 Zip:
Telephone Number:

 Fax Number:
 Email:
Select one of the following:
New Authorization Change in Authorized Amount Change in Account

Gift Information for Monthly Transfers:		  

$83.34 Presidents Society Membership
$ Other

Please make transfers on:
The 1st of every month or next business day
The 15th of every month or next business day

Apply my Gift as:		  
$ to the Annual Fund
$ to the Capital Campaign		 $ designated to
$ designated to
Account Information:
Please take my gift payment directly from my: Checking Account (attach voided check)
Savings account (attach deposit slip)
 
Account No.

Routing No. (no. between these symbols I: I:)

Authorization:
I authorize Greenville College Foundation to process debit entries to my account. I have attached a voided check or savings deposit slip. This authority will remain in effect until I give reasonable notification to terminate this authorization.

Authorized Signature for Account Listed Above:


Attach Voided Check or Savings Deposit Slip to this form.