Ministry Partner Direct Deposit – EFT   
ENROLLMENT FORM


Yes!  I authorize my bank to transfer to the North American Mission Board each month the amount shown below.  I understand that a confirmation will be sent prior to my first transfer.


Total Per Month:  $

Transfer my gifts on the  1st  or  3rd Friday of each month (Please check one).

Month to begin

Name 

Address

City State Zip

Phone E-mail


Signature_________________________________________

Date Signed_______________________________________

Use the Print button below or your browser's [File] [Print] option to print this form then enclose a check made payable to "North American Mission Board" for this month’s contribution.  This will ensure we will have the necessary banking information to begin future electronic transfers.  Include Steve and Sheena Grissom’s MIDAS number 9433 in the check's memo section.

Print this form and mail it with your check to:

North American Mission Board
Attn:  Accounting – MSC #9433
PO Box 116543
Atlanta, GA 30368-6543