Debit Giving Form First Name * Middle Initial * Last Name * Phone Number * Address * Postal Code * City * Prov. * Email * By providing my email above, I consent to receive emails from Celebration Church about their programs, events and courses that may be of interest to me. I can withdraw at anytime at CelebrationEdmonton.com Void Check or Preauthorized Debit Form * Choose File No file chosen The maximum total size of all files in a single form submission is 1 GB. Starting Month * Ending Month (If applicable) Frequency * Monthly on the 1st Monthly on the 15th Semi-monthly on the 1st & 15th Biweekly One-time Gift Starting date: (if biweekly) Tithes & Offerings Amount in CAD$ Legacy Fund Amount in CAD$ Total Amount of Each Withdrawal * Electronic Signature * I hereby authorize Celebration Christian Church to debit my bank account. I agree that this agreement may be electronically signed and that electronic signatures appearing on this form are the same as handwritten signatures for the purposes of validity, enforceability and admissibility. Date * Leave Blank