College at Oneonta Alumni Annual Fund

Electronic Funds Transfer

Thank you for considering making your gift through Electronic Funds Transfer (EFT). When you enroll, your gift will automatically transfer from your checking account to the College at Oneonta Alumni Annual Fund. All gifts are processed on or about the 15^th of each month and will appear on your checking account statement. You may change or cancel your gifts at any time by notifying us of the change in writing. Thank you for your continued support.

Donor Information

Name(s)_____________________________________________ Grad Year(s)_____________

_____Please check if this gift is also from your spouse and include their name.

Address______________________________________________________

City____________________________________ State_________ Zip Code___________

Email Address_____________________________________ Home Phone_______________________

*Providing an email address allows us to send you an email confirmation after every EFT.

Business Name____________________________________ Business Phone______________________

Address______________________________________________________

City____________________________________ State_________ Zip Code___________

Gift Information

Please deduct the following amount $___________ (minimum gift $10/month) from my account each month.

Please attach a voided check. This is a: ____Personal Account ____Business Account

NOTE: We are required to collect a voided check; a deposit slip will not meet this requirement.

Statement of Authorization

I authorize the College at Oneonta Alumni Annual Fund to initiate the recurring EFT withdrawal as indicated above. I understand that a record of each donation will be included in my monthly bank statement and that the College at Oneonta will send a receipt showing the total of all recurring and any other gifts to the College for the calendar year, following the end of each calendar year. I may change or cancel this recurring payment by notifying the College at Oneonta in writing. All notification must be received by the first of the month in order to alter the month’s transaction.

I authorize my financial institution to transfer the amount indicated above to the College at Oneonta Foundation. Adjusting entries to correct errors are also authorized. It is agreed that these debits and adjustments will be made electronically and under the rules of the National Automated Clearing House Association (NACHA). This authorization is to remain in full force and effect until written notification is given to the College at Oneonta of its change or termination.

Signature_______________________________________________ Date____________