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Calvary Chapel Monterey Bay 3001 Monterey-Salinas Hwy Monterey, CA 93940

CREDIT CARD AUTHORIZATION FORM How to use this form: 1. Print it out 2. Fill in the blanks and sign it. 3. Mail it to CCMB

Monthly Recurring Charges: I authorize Calvary Chapel Monterey Bay to charge my credit card each month until I change or cancel this agreement. I understand that I must contact the Church office by the 25th of the month to cancel for the following month. Starting date ______ /______(month/year). I prefer the monthly charge to be processed on the □ 10th or □ 25th (check one). $ ____________ Special Monthly Donation for Latvia Missions (Powers) □ MasterCard or □ VISA or □ Discover Card Card Number _______________________________________ Expiration date: ______ /______(month/year). CID Number ___________ (the last 3 digits found on the back of your Visa or MasterCard in the signature panel) Card Billing Name (please print): __________________________________ Card Billing Address: __________________________________________ City, State, Zip: _____________________________________________ Phone Number: _________________________________ Signature: ____________________________________ Date:___/___/____(month/day/year). After completing this form, please mail it to: Calvary Chapel Monterey Bay 3001 Monterey-Salinas Hwy Monterey, CA 93940 ------------------------------------------------------------------------------------------------------In keeping with IRS regulations, all designated gifts to Calvary Chapel Monterey Bay are distributed and used at the discretion of the church's leadership. It is the policy of CCMB that if the church is no longer supporting a missionary for whom a designated gift is received, those funds will be returned to the donor (except in the case of anonymous gifts, which will go to the church's general fund). If you have any questions about the status of your donation, or you would prefer to give this information over the phone, please call Kelly, the bookkeeper of CCMB, at (831)649-1158.

Thank you!

CCMB Latvia mission support  

Credit Card Authorization

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