ICP Automatic Contribution Form

ICP

Automatic Contribution Form

Use this page is to make a request for International Christian Publishers to automatically withdraw funds from your bank or creditor as a donation to the literature translation ministry of ICP. This transaction will be set up as a monthly event, and once your information is entered in the system, an amount, set by you, will be automatically transfered from your bank each month to International Christian Publishers.

Click here to see terms and FAQ concerning Automatic Donations

In order to make an automatic monthly donation from your account, please print this page, fill out the information, and send it by mail or fax to International Christian Publishers. Mail to: ICP, P. O. Box 2587, Texarkana, TX 75504. or Fax to: 870 774 1736. If you have questions please call ICP @ 870 774 1737. Thank you!

1. Please debit the following monthly amount: $_________________

2. I would like my Automatic Contribution Transfer to take place on (circle one):

The 5th of each month or The 20th of each month

3. Please complete this information.

   Name: ___________________________________________________

   Address: _________________________________________________

   City, St, Zip: ______________________________________________

   Phone: __________________________________________________

   E-Mail: __________________________________________________

   Signature: _______________________________________________

   Date:____________________________________________________

For Checks:

Please include a voided check with this form.

For Credit Cards:

Circle Card Type: Master Card or VISA

Enter Card No.:_______________________

Enter Exp. Date:______________________

For security precautions, please enter your card's CVV number (the 3 digit number on the back of the credit card) here:

CVV Number:__________