Electronic Funds Transfer ( EFT)
This recurring giving option allows more of your donation to go directly to Reborn Ranch. (The fees associated with an EFT are considerably less than the credit card fees).
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Type of Authorization:
*
New Authorization
Change Donation Amount
Change Donation Date
Change Banking Information
Discontinue Electronic Donation
Donation Type:
*
1st of the month ( Recurring)
15th of the month( Recurring)
Annual Gift ( Recurring )
One Time Gift
Date
*
-
Month
-
Day
Year
Date
Donation Amount:
*
Enter exact dollar amount
Bank Information
***Please be sure to verify your account information is correct before submitting the form!
Choose One:
*
Savings
Checking
Bank Name
*
Routing Number
*
Must be 9 characters
Account Number
*
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
I have verified all above banking information is correct
*
Yes
I authorize Reborn Ranch to process debit/credit entries to my account. I understand this authority will remain in effect until I provide reasonable notification to Reborn Ranch to terminate the authorization.
*
By clicking the submit button, I agree to terms & conditions
Signature
*
Submit
Should be Empty: