Monthly Giving Form
Monthly Giving Form Electronic Fund Transfer
The following monthly amounts would allow you to make an annual contribution that will help today’s students access Allegheny’s world-class education:
Monthly Amount $8.34 $20.84 $41.67 $83.34
Yearly Donation $100 $250 $500 $1,000
Membership in Allegheny’s Timothy Alden Council begins at:
Monthly Amount 151.25
Yearly Donation $1,815
Allegheny College EFT Giving Agreement A written confirmation of this agreement will be sent to you before the first electronic transaction occurs. Amount per month ($5.00 minimum) $ Bank Name City
State
Name Address City
State
ZIP
Phone Number Please attach a blank VOIDED check or deposit slip for the account from which you wish to make the withdrawals. I/We authorize Allegheny College to initiate monthly debits to my/our account on the 15th of each month for payment of my/our gift to the Annual Fund indicated above. This EFT Giving authorization will remain in full force and effect until the authorizing person(s) named below has/have given 30 days written notification of the termination. If a joint bank account is being used for the monthly automatic deduction, both persons must sign this form.
Account Holder Signature:
Date:
Account Holder Printed Name: Joint Account Holder Signature:
Date:
Joint Account Holder Printed Name:
Please return to: Allegheny College Office of Annual Giving, 520 N. Main St., Meadville, PA 16335
The following monthly amounts would allow you to make an annual contribution that will help today’s students access Allegheny’s world-class education:
Monthly Amount $8.34 $20.84 $41.67 $83.34
Yearly Donation $100 $250 $500 $1,000
Membership in Allegheny’s Timothy Alden Council begins at:
Monthly Amount 151.25
Yearly Donation $1,815
Allegheny College EFT Giving Agreement A written confirmation of this agreement will be sent to you before the first electronic transaction occurs. Amount per month ($5.00 minimum) $ Bank Name City
State
Name Address City
State
ZIP
Phone Number Please attach a blank VOIDED check or deposit slip for the account from which you wish to make the withdrawals. I/We authorize Allegheny College to initiate monthly debits to my/our account on the 15th of each month for payment of my/our gift to the Annual Fund indicated above. This EFT Giving authorization will remain in full force and effect until the authorizing person(s) named below has/have given 30 days written notification of the termination. If a joint bank account is being used for the monthly automatic deduction, both persons must sign this form.
Account Holder Signature:
Date:
Account Holder Printed Name: Joint Account Holder Signature:
Date:
Joint Account Holder Printed Name:
Please return to: Allegheny College Office of Annual Giving, 520 N. Main St., Meadville, PA 16335
