Pre-Authorized Giving

Your regular Sunday offering, taken from your bank account once a month on or around the 15th. Fill in this form and attach a photo of a void cheque; there is nothing to print or drop off.

Donor and account holder

Name(s) on the bank account *

Email * Phone *

Address *

City * Province * Postal code *

Envelope number (if you have one)

The donor is An individual A business

Monthly amount

There are not exactly four weeks in a month, so a weekly amount is multiplied by 4.33.

$130.00 a month (about $30 a week) $86.67 a month (about $20 a week) $65.00 a month (about $15 a week) $43.33 a month (about $10 a week) Another monthly amount Other monthly amount ($) First deduction *

Void cheque

Take a clear photo of a cheque with VOID written across it, or attach a PDF from your online banking. We use it only to read your bank, transit and account numbers.

Photo or PDF of a void cheque *

Authorization

I, the payor, authorize St. Charles Garnier Parish and the financial institution designated on the attached void cheque to begin deductions on or around the 15th of each month in the amount chosen above.

I understand that this agreement does not include special collections such as Building Collections and Pilgrimage of Faith, and that the Roman Catholic Bishop of Nelson administers this pre-authorized debit agreement.

I may revoke my authorization at any time with at least 30 days written notice. To obtain a sample cancellation form or more information on my right to cancel a PAD agreement, I may contact my financial institution or visit payments.ca. I have certain recourse rights if any debit does not comply with this agreement, including the right to reimbursement for any debit that is not authorized or is not consistent with this agreement.

I have read and agree to these terms *

Type your full name as your signature * Joint account holder name (if applicable)

Today's date, October 25, 2026, is recorded as the signature date.

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