Copyright © 2008-2010 Zoya Ministries Inc

SIGNATURE:__________________________DATE:_________________

I hereby authorize Zoya Ministries, Inc. to initiate automatic withdrawals from my bank account each month.  This authorization is to remain in effect until revoked by me in writing.

To begin automatic monthly withdrawal from your checking account please,

1. Complete and print this form , specifying  the amount you wish to have deducted.
2. Attach a voided check   
3. Mail completed form to Zoya Ministries (address below).

Note: If you need to change your checking account information, please mail us a voided check with the new account information and a brief note of your request.  Your request must arrive in our office no later than 5 business days before the 1st of the month for which you want it changed.

Zoya Ministries Inc Automatic monthly bank withdrawal request form

Zoya Ministries, Inc

P.O. Box 260381

Plano, TX  75026