College at Oneonta Foundation
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 Foundation. All gifts are processed on or about the 15th
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.
Scholarship/Fund:
_________________________________________________
Statement of
Authorization
I authorize the College at
Oneonta Foundation 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____________