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Monthly Debit Order Form
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Name
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First
Last
Email
*
Account Number
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Bank Name
*
Account Type
*
1 = Current
2 = Savings
3 = Transmission
4 = Bond
5 = Credit card
Branch Code
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Amount
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On which day of the month would you prefer the debit order to go through?
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1st
15th
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Home
About Us
Davening
Learning
Donate
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Online Shiurim
Renewal Project
Youth
The Power of One
