Electronic Funds Transfer Authorization

- Safely provide electronic funds transfer (EFT) information to WELS Church Extension Fund.
- A field marked with a red asterisk is required.
Depository Institution Information
Bank name*
Phone number
Contact name
Bank address
Address line 1 Address line 2 City State Zip code
Account Information
• Be prepared to upload a copy of a voided check (not a deposit slip), which shows the account number and bank routing number.
• If depositing to a savings account, ask your bank for the routing/transit number for your account as the number on the deposit slip may not match your account number.
• See example of a check with a bank routing number and an account number.
Type of account*
- Checking
- Savings
Account name*
Routing number*
Account number*
Confirm account number*
Upload a voided check. A deposit slip will NOT be accepted.
• File extensions allowed: pdf, doc, docx, jpg, png
• Maximum file size allowed: 4MB
Drop files here or

Accepted file types: pdf, doc, docx, jpg, png, Max. file size: 4 MB, Max. files: 3.
Authorization
I hereby authorize WELS Church Extension Fund, Inc., to initiate credit entries to the checking or savings account located at the depository institution named above. If necessary, a debit entry may be initiated for correction only.
Signature*
Use your mouse or touch pad to add your signature.
First name*
Last name*
Signature date*
MM slash DD slash YYYY
E-mail*
A confirmation e-mail will be sent to the e-mail provided.
Enter e-mail Confirm e-mail
Is a joint signature needed on this account?*
- Yes
- No
Joint signature*
Use your mouse or touch pad to add your signature.
Joint first name*
Joint last name*
Signature date*
MM slash DD slash YYYY
Data Privacy & Permission*
I AGREE with the terms of the WELS Church Extension Fund Privacy Policy.
Data Privacy & Permission*
NOTE TO EU CITIZENS, RESIDENTS, TOURISTS, AND OTHER PERSONS TEMPORARILY IN THE EU:

By submitting this form you consent to any and all information you provide and submit via the site being sent to the United States of America. The United States has not sought nor received a finding of “adequacy” from the European Union under Article 45 of the GDPR. WELS relies on derogations for specific situations as set forth in Article 49 of the GDPR. You are also informed that the United States presently does not have an adequate level of personal data protection as determined by the European Commission’s adequacy decision on October 6, 2015 (case c-362/14) and articulated in the European Union’s General Data Protection Regulation and has not received a similar designation of adequacy by any other foreign data protection authority. You agree to the transfer of your data and personal data to the United States, however, to be used in accordance with WELS Privacy Policy.
I agree to the term of the WELS Privacy Policy.

WELS Church Extension Fund: [email protected] or 866-511-7793 | Privacy policy
Ref: Electronic Funds Transfer Authorization