|
|
Monthly Debits - You may also donate automatically to the Kentucky Renaissance Pharmacy Museum from your checking or saving account. This wonderful opportunity to support the Museum does not in anyway affect your relationship with your personal banking institution. This method can be easily arranged by:
|
|||||||||||||||
Authorization Agreement for Automatic Donation Click here for easy print form I hereby authorize the Kentucky Renaissance Pharmacy Museum to initiate debit entries and if necessary, credit entries and adjustment for any debit entries in error to my account indicated below at the financial institution named below, and to debit and/or credit the same to such account.
This authority is to remain in effect until the Kentucky Renaissance Pharmacy museum has received written notification from me of its termination and manner as to afford the Kentucky Renaissance Pharmacy Museum a reasonable opportunity to act upon it.
Date______________Signature_____________________________________________________
|