Fill out the form, and return it with a voided check to Ezra Habif in the CBE office. If you have any questions, please contact Ezra at firstname.lastname@example.org.
Direct Payment via ACH is the transfer of funds from a consumer account for the purpose of making a payment.
I (we) hereby authorize Congregation Beth Elohim (“COMPANY”) to electronically debit my (our) account as follows, (and if necessary, to electronically credit my (our) account to correct erroneous debits). I (we) agree that ACH transactions I (we) authorize comply with all applicable law.
Account at the depository financial institution (“DEPOSITORY”) named below.