Immanuel is happy to accept donations of cash and securities at any time. Beginning in 2002, in keeping with the "first fruits" to the temple philosophy, Immanuel will offer direct debit arrangements on the first day of each month. If you would like to participate, print this page and send the completed information along with a voided check to the business office.

WACHOVIA BANK, N. A. *DIRECT DEBIT SIGN-UP FORM

A. Name of Payor ____________________________________________


B. Type of Credit Account: __Checking __Savings __Other____________

C. Account Number ____________________________________________

D. Name of Financial Institution __________________________________

E. Routing Number ____________________________________________

F. Dollar Amount to Debit (month)________________________________

I, _____________________________, certify that I am entitled to debit the above listed account. In signing this form, I authorize Wachovia Bank, N.A., to debit my account for a preauthorized amount until I notify them through Immanuel Presbyterian Church, in writing, to terminate the direct debit. I must give three (3) business days notice before I terminate the direct debit or change any information listed above.

_________________________________

Signature

________________________
Date