PREAUTHORIZED DEBITS AUTHORIZATION FORM  
To authorize a monthly direct debit donation to Big Cat Rescue from your checking account, please just complete this form, attach a voided check, and mail it to:
Howard Baskin, Big Cat Rescue, PO Box 340189, Tampa FL 33694-0189

THANK YOU FOR SUPPORTING THE CATS IN THIS WAY!

 

I (we) authorize Big Cat Rescue Corp., hereinafter called Big Cat Rescue, to initiate debit entries and if necessary, credit entries for adjustments to any debit entries made in error to the account at the Financial Institution as listed below:

_____________________________________   _____  _____  _____  _____  _____  _____  _____  _____  _____

Your Bank Name                                         Bank Routing/Transit Number (9 digits)                                          

________________________________________________________________________________________________   

Bank Address (City, State, Zip)       

_____________________________________ OR _______________________________________________________

Checking Account Number                              Savings Account Number

I would like to have $ _________ /month tax deductible donation debited from the account above to support the cats at Big Cat Rescue. This authority is to remain in full force and effect until Big Cat Rescue has received written notification of its termination in such time and in such manner as to afford Big Cat Rescue and Depository Institution a reasonable opportunity to act upon it.

_____________________________________   __________________________________  _____________________

Print Name                                                Signature                                             Date

 

PLEASE ATTACH VOIDED CHECK HERE Routing # is Your account # Check # First 9 digits is next is last |:123456789|: 1122334455667|| 1000

 

Big Cat Rescue