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SIMPLY GIVING AUTHORIZATION FORM FOR OFFICE USE ONLY ENVELOPE DATE Bethel Lutheran Church Northfield MN Effective date of authorization // Type of Authorization Form New Authorization Change donation amount Change banking information Discontinue electronic donation Last Name First Name Address City State Zip Would you like to continue to receive Offering Envelopes Yes No Please debit my donation from my check one Routing Number Valid Routing must start with 0 1 2 or 3 Checking Account attach...
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