Electronic giving is a great way to financially partner with the ministry of Casa Viva. Regular monthly giving allows us to budget and plan wisely as together we work to complete our mission:

Casa Viva exists to provide lifegiving solutions for children who have been

separated from their families worldwide.

What method can I use to give electronically? You can set up monthly giving using Automatic Bank Draft or Credit / Debit Card transactions. All electronic transactions will occur on the 20th of the month following the receipt of your form.

How long will my giving continue? Casa Viva will continue to use the electronic giving method you choose until we receive notification about any changes you desire.

How do I setup electronic giving? You may either complete this form and mail it to us, or you may complete the electronic version of this form by visiting: http://give.casaviva.org

Please return this form with voided check (if using Automatic Bank Draft) to:

Casa Viva PO Box 120 Wheaton, IL 60187-0120

630.487.0079

www.casaviva.org

Electronic Giving

Automatic Bank Draft and Credit/Debit Card Form

Casa Viva PO Box 120 Wheaton, IL 60187-0120

630.487.0079

www.casaviva.org

Print this form, sign it and mail it to: Casa Viva PO Box 120, Wheaton, IL 60187

You may also complete an electronic version of this form online at: http://give.casaviva.org

Donor Information

Name(s): _______________________

Address: _______________________

_______________________

Phone: _______________________

Email: _______________________ (You will receive email confirmation for each gift.)

Signature(s): _______________________

Gift Information Monthly Gift Amount: $_________

My gift is to be used for (check one):

o Casa Viva o The ministry of ________________ (Staff Member) and Casa Viva o Other: _______________________

Gift Method Automatic Bank Draft is Casa Viva’s preferred method of giving as it allows us to avoid the 3% processing fee on all credit/debit card transactions.

Automatic Bank Draft: withdrawals will occur on the 20th of the month. Please complete the information below and include a voided check.

Type: Checking / Savings Date: 20th of the month

Bank Name: _______________________

Bank Address: _______________________

_______________________

_______________________

Credit/Debit Card giving will be processed on the 20th of the month. If the address associated with the card is different than above, please indicate it in the margin.

Type: Visa / Master Card Date: 20th of the month

Credit Card Number: _______________________

Expiration Date: ___ / ____ Security Code: ________