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Donation Pledge Form

Donor Name

*

Address

*

Phone

*

Email

Number of payments

*

Bank Account Holder Name

*

Bank Account Number

*

Refer to sample image of check below to identify your Bank Account Number.

Bank Routing Number

*

Refer to sample image of check below to identify your Bank Routing Number.

https://storage.tally.so/9407b88f-bb43-4c31-b2d7-10d5f30fae66/dotdash_Final_Routing_Number_vs_Account_Number_Whats_the_Difference_Aug_2020-8939d2501c14490e8d85b94088a0bec9.jpg

Start date

*

The date to start ACH debit

Donor Signature. I hereby authorize Sattvic Meals Foundation to ACH debit my donation pledge amount in instalments from my bank account as per my selection above.

*

Please enter your full legal name. The entry below will act as your Digital Signature.