The Have A Standard Foundation
Authorization Agreement for Preauthorized Payments
(Debits)
I (we) hereby authorize the Have A Standard Foundation to initiate debit entries to my (our) checking account indicated below, and the financial institution named immediately below to debit the same such account.
Institution Name: ____________________________________________________
City: ______________________
State:________
Zip: __________
This authority is to remain in effect until the Have A Standard Foundation receives written notification from me of the termination of these debits.
Please write a monthly donation amount and check one of the two boxes:
Monthly Amount: _________________
Withdrawal Timing: ___1st of the month ___15th of the month
Please fill in the following information:
Name of signer on the account:
__________________________________________
(Please print or type)
Signer’s Signature:
_____________________________________
Date:_________
Signer’s Phone Number: __________________
Signer’s E-mail address: __________________
Please attach a cancelled or voided check to this page and mail to:
The Have A Standard Foundation
PO Box 4234
Cordova, TN 38088
Thank you for supporting the Have A Standard Foundation’s efforts to develop relationships to teach Biblical standards to youth.
Feel free to call our office at with questions at (901) 756-1818 or