Authorization Agreement for Checking or Savings Account ACH Debits

I (we) hereby authorize Shelter from the Storm Ministries, Inc. (SFTSM), to debit entries to my (our) account indicated below at the depository financial institution named below, hereinafter called Financial Institution, and to DEBIT the amount listed below to such account. I (we) acknowledge that the origination of ACH transactions to my (our) account must comply with the provisions of U.S. law.

Minimum Donation request $35