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YES! I/WE WILL SUPPORT COVENANT IN 2023

Weekly for 52 Weeks
$

Semi-Monthly for 24 Periods
$

Monthly for 12 Months
$

Quarterly for 4 Quarters
$

As Follows
$

Yes, I/We would like information on how to leave Covenant in my/our will.

ELECTRONIC FUNDS TRANSFER
I hereby authorize Covenant UMC by Synovus Bank to debit my account for the amount and frequency indicated below:

Semi-Monthly - Withdrawn 1st & 15th of each month
$

Monthly - Withdrawn 1st of each month
$

Monthly - Withdrawn 15th of each month
$

NOTE: All withdrawals will be on the indicated day unless it is a non-banking day in which the withdrawal will take place the next banking day.

This authorization will remain effective until Covenant UMC has received written notification from me (or either of us) of its termination in such a time and manner as to afford Covenant UMC a reasonable time to act upon it.

Please enter your full name in the textbox below to accept the authorization.

I understand that by typing my name and clicking Submit, I am electronically signing this document.