Towanda Area School District : Education Foundation Forms : Education Foundation Debit Payments

TOWANDA AREA SCHOOL DISTRICT
EDUCATION FOUNDATION DEBIT PAYMENTS

Make a donation to the TASD Education Foundation

* - indicates a required field

First Name:

Last Name:

Address:

City:

State:

Zip Code:

Phone Number:

Email Address:

Graduation Year:

Donation Amount:

Bank Account Information

Name on Account:

Name of Financial Institution:

Account Type:

Account Number:

Bank ABA Routing Number:

Authorization Agreement for Prearranged Payments

By hitting "Submit", I hereby authorize my financial institution and Towanda Area School District to charge the account specified above for Education Foundation payments as designated. I agree that each charge to my account shall be the same as if I had signed a check to make a donation. This authority will only remain in effect for the payment(s) specified above. I have the right to stop payment of a charge by notifying my financial institution before the stated due date. I understand that both the financial institution and Towanda Area School District reserve the right to terminate this payment plan and/or my participation therein. Failure to notify Towanda Area School District of closing my bank account or to maintain sufficient funds will result in additional service charges.