ACH Donation Form

Please print and fill out the form below.

Name: ………………………………………………………………………………………

Company: …………………………………………………………………………………

Address: …………………………………………………………………………………..

City: …………………………………………………………………………………………

State: ……………………………………………………. Zip: ………………………….

e-mail: ………………………………………………………………………………………

Amount Withdrawn: ………………………………………………………………….

Frequency:

Monthly

Quarterly

Account: Checking Savings

Please attach a voided check or deposit slip with your completed form.

Please sign below:

…………………………………………………………………………………………………
Signature

…………………………………………
Date

By signing this form, you authorize the Oklahoma Council on Economic Education to debit your bank account.  You also hereby authorize the financial institution holding the bank account to debit without responsibility for the accuracy of the transaction.  You further agree that the Oklahoma Council on Economic Education nor its agents will be liable for loss, liability, cost or expense for acting upon these instructions, except to the extent as required by applicable law.

Mail this form with voided check to:
OCEE
100 N. University Dr., Box 103
Edmond, OK; 73034

 

Cancellation Policy:
Automatic draft may be cancelled by contacting the Oklahoma Council on Economic Education in writing at least 30 days prior to the next scheduled draft.  Send cancellation to OCEE; 100 N. University Dr., Box 103; Edmond, OK; 73034.