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pre-authorized donations
PLEASE COMPLETE THE FORM BELOW
Pre-Authorized Donation Form
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This field is for validation purposes and should be left unchanged.
Personal Information
By filling out and submitting this form, I choose to donate to Southview Church through pre-authorized withdrawals and authorize Southview Church to automatically withdraw recurring donations from my bank account in the amount listed in this form.
Name
(Required)
First
Last
Email
(Required)
Enter Email
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Address
(Required)
Street Address
City
State / Province / Region
ZIP / Postal Code
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
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Barbados
Belarus
Belgium
Belize
Benin
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Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
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Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
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Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
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Curaçao
Cyprus
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Djibouti
Dominica
Dominican Republic
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Equatorial Guinea
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Eswatini
Ethiopia
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Faroe Islands
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Finland
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French Southern Territories
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Gambia
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Ghana
Gibraltar
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Greenland
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Guinea-Bissau
Guyana
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Hungary
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India
Indonesia
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Iraq
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Isle of Man
Israel
Italy
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Japan
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Jordan
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Kenya
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Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
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Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
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South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
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Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
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Venezuela
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Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Phone
(Required)
Banking Information
To protect your information, someone from our accounting team will reach out to you to confirm this information.
Giving Number
It is not necessary to have a giving number to donate.
Month you wish to start your pre-authorized donation
(Required)
January
February
March
April
May
June
July
August
September
October
November
December
Date choice of donation
(Required)
Beginning of the month (3rd day)
Middle of the month (18th day)
Both beginning and middle of the month (3rd & 18th) - this is a 50/50 split
Fund Options
Please choose which fund or funds by entering in the amount.
Southview Ministries (General) Fund
Please enter as a number. Example: 25.00
FORWARD (Building) Fund
Please enter as a number. Example: 25.00
Global Missions (Domestic and Foreign Missions)
Please enter as a number. Example: 25.00
Benevolent (Assisting those in need)
Please enter as a number. Example: 25.00
Total Donation Amount
(Required)
Please add up the amounts you placed in each of the funds above to obtain your total pre-authorized recurring donation amount. Please enter as a number. Example: 25.00
Agreement
I agree that the information submitted in this form is correct and hereby give Southview Church authorization to start recurring withdrawals from my bank account in the amount listed in "Total Donation Amount" field in this form.
(Required)
I agree
I understand that if I wish to stop the recurring donation, I must notify Southview Church in writing at accounting@southviewchurch.com one (1) week prior to the next pre-authorized donation date.
(Required)
I agree