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One Step Transfer
KYCC Radio is a 501(c) 3 non profit ministry. All donations to KYCC are tax deductible. Use this card to indicate the amount you wish to contribute from your checking account. Be sure to complete the entire card. Please print legibly. Sign and date this card. Return completed card to: KYCC Radio, 9019 West Lane, Stockton, CA 95210. (print and mail in)
Please Transfer my Monthly donation from my checking account. I have included a BLANK VOIDED CHECK. (Use this option for Monthly donations only.)
| Donation Amount: |
$____________________________________ |
| Monthly: |
______________________________________ |
| Name: |
______________________________________ |
| KYCC Acct # |
______________________________________ |
| Address: |
______________________________________ |
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| Circle one: |
Tranfer on 3rd or 18th of the month. |
| Month & Year to begin: |
______________________________________ |
| City: |
______________________________________ |
| State / Zip: |
__________ / _______________________ |
| Day Phone: |
(_________) _________ - _____________ |
| Today's date: |
_______________________ |
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| Sign |
______________________________________ |