Setup Direct Deposit

Contributions to Sikh Gurdwara of Rochester Hills help to maintain property, organize events, and support our community.

You can print out a generated form below or print and manually fill out a blank template.

Please Note: All details are confidential. No details are submitted to any external server except to the printer of your choice. You may fill out as much or as little information as you are comfortable with before printing the form.

Sikh Gurdwara
Monthly Donation via Direct Deposit Form

Monthly Donation via Direct Deposit

Account Holder Details

Bank Details

Authorization

  1. I authorize the Sikh Gurdwara to debit my account for the specified monthly donation amount via EFT (Electronic Funds Transfer).
  2. I understand that I can change the donation amount or cancel this authorization at any time by notifying a member of the Executive Committee at the Sikh Gurdwara.
  3. I acknowledge that the Sikh Gurdwara will not be held liable for any potential bank fees incurred due to insufficient funds or other banking issues.
  4. I certify that the information provided in this form is accurate and complete to the best of my knowledge.
Once completed, please sign and date the form, and submit it to any EC or GAPC member of the Sikh Gurdwara (271 W Auburn Rd, Rochester Hills, MI 48307).
Signature
Date