Author: Karen McGuire

Amherstburg—Harrow Catholic Family of Parishes
St. John the Baptist St. Anthony of Padua
Please check one of the churches for your Preauthorized

PRE-AUTHORIZED REMITTANCE AGREEMENT FOR REGULAR SUNDAY OFFERTORY
I / we wish to participate in the pre-authorized debit for Regular Sunday collection with the following plan:
Monthly debit (please circle one)
1st of the month Amount $____________
15th of the month
30th of the month
Full Name: ________________________________________________________________
Mailing Address: ___________________________________________________________
Phone number: __________________ Email address: __________________________
I / we authorize Amherstburg-Harrow Catholic Family of Parishes to withdraw amounts from my/our accounts and financial institution, as shown below, for the per-authorized payment.
Name of Bank: ______________________________________________________
Address of Bank: ____________________________________________________
Bank # (3 digits): ___________ Branch # (5 digits): _________ Bank Account #: _____________________

To debit the above stated account for my offertory gift payable to St John the Baptist, Amherstburg, Ontario, in the amount specified from the account.
Signature: ___________________________________ Date: ________________
** PLEASE attach a VOID cheque with this completed form **

AHCFOP may not change the terms of this authorization without permission of the parishioner listed above. The parishioner may change or cancel this authorization at any time by providing written notice 30 days prior.

FUND NAME DONATION AMOUNT Withdrawal Month
Date’s change and will to be determined per year
INITIAL OFFERING: One Time $______ January
Mary Mother of God: One Time $_______ January
“New Years Day Offering”
HEATING OF THE CHURCH: One Time $______ February
SHARE LENT: One Time $______ March
HOLY THURSDAY: St Vincent de Paul One Time $______ April
Amherstburg or Harrow Conference
GOOD FRIDAY: One Time $______ April
EASTER: One Time $______ April
ST. PETER’S SEMINARY: One Time $______ April
PRIEST PENSION FUND One Time $______ June
COOLING OF THE CHURCH: One Time $______ July
THANKSGIVING APPEAL: One Time $______ October
World Mission Sunday One Time $______ October
ST. VINCENT DE PAUL: One Time $______ December
Amherstburg or Harrow Conference
CHRISTMAS: One Time $______ December
Date:______________ Signature:____________________
Please return this form to the Church Office
Thank you

If you would like to receive this version of the bulletin by email, please email Karen at stjohnb@dol.ca asking for
the “e-bulletin”. There is no cost for this service, so please try it out (you can always remove your name from our email list at any time).