ACH GIVING
Fill Out Completely! Provide information in allotted spaces to help make sure your contributions are being applied to the correct fund. Have a question? Call the District Office at 501-358-7457
PLEASE SELECT (Required
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ONE TIME CONTRIBUTION
MONTHLY CONTRIBUTION
AMOUNT (TOTAL FOR ALL CONTRIBUTIONS)
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List All Contributions and How You Want Them Distributed:
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Extra notes:
Full Name
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Routing Number
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Account Number
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Account Type:
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Please Select
Checking
Savings
Zip Code
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Email
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example@example.com
Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
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