Financial Stewardship

Automatic Withdrawal Authorization

If you wish to have your pledge payment deducted regularly from your checking account, please print out this form, fill it in and send to the church along with a voided check from that account. You may also place this information in the Sunday collection basket.

I hereby authorize the Unitarian Society of Germantown to deduct $_________ monthly from my checking account.

__________________________________________________________
My name as it appears on the account

__________________________________________________________
Bank name

__________________________________________________________
Account number

__________________________________________________________
Bank routing number

__________________________________________________________
Monthly Withdrawal Date

I have enclosed a VOIDED CHECK to provide the necessary routing information. This authorization will remain in effect until I notify USG in writing to cancel or change the terms or I notify my financial institution at least 3 days before my account is to be charged.

__________________________________________________________
Signature

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The Unitarian Society of Germantown, a Unitarian Universalist congregation, serves the communities of Abington (zip code 19001), Ambler (zip code 19002), Elkins Park (zip code 19027), Glenside (zip code 19038), Jenkintown (zip code 19046), Merion Station (zip code 19066), Narberth (zip code 19072), Oreland (zip code 19075), Havertown (zip code 19083), Wyncote (zip code 19095), Wynnewood (zip code 19096), Philadelphia Chestnut Hill (zip code 19118), Wyndmoor (zip code 19118), Philadelphia Mt. Airy (zip code 19119), Philadelphia Roxborough (zip code 19128), Philadelphia East Falls (zip code 19129), Philadelphia Spring Garden (zip code 19130), Philadelphia Fairmount (zip code 19130), Philadelphia Wynnefield (zip code 19131), Philadelphia Germantown (zip code 19144), Blue Bell (zip code 19422), Gwyned (zip code 19436, Lansdale (zip code 19446), Bala Cynwyd (zip code 19004), Lafayette Hill (zip code 19444), Melrose Park (zip code 19027), Roslyn (zip code 19001), Rydan (zip code 19046), Laverock (zip code 19038), Plymouth Meeting (zip code 19462) , Flourtown (zip code 19031), Erdenheim, Cheltenham (zip code 19012), and Ft. Washington (zip code 19034). Visitors from any other location are equally welcome.