National Diamondback Pharmacy Alumni Council

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Give to The National Diamondback Pharmacy Alumni Council

Give to The National Diamondback Pharmacy Alumni Council

FAMU COPPS Students

National Diamondback Pharmacy Alumni Council

AUTOMATIC BANK DEDUCTION or ELECTRONIC FUNDS TRANSFER

 

You may choose to set up recurring payments through online banking, or use the Bank Funds Transfer form to have funds automatically deducted from your account for a quick, "painless" way of giving.

Please complete and use the form Please, complete form to be mailed back to us BANK_FUNDS_TRANSFER.pdf to establish either Electronic Bank Funds Transfers with your banking institution through online banking or if you plan to establish a recurring payment option.

Please, return completed form by mail to us.In order to ensure proper credit for your gift, please return the completed form by mail to:

NDPAC c/o Cary Brown 600 Viana Court Winter Springs, FL 32708

or you may complete the form online below.


ELECTRONIC BANK FUNDS TRANSFERS Online Form

 

        Date A value is required.
           
Donor Name A value is required.        
Donor Address A value is required.
City A value is required. State Please select an item. Zip Code A value is required.
           
Home Phone A value is required.   Email Address A value is required.
           
           
Transfer Starting Date A value is required.
Scheduled Transfer Date A value is required.eg: 1st of each month
Transfer Occurrence:This Transfer will be set up (Check mark your desired selection)


Please make a selection.
Amount to be Transferred Each Time in $: A value is required.
           
Donation to be Contributed to (Check mark your desired selection) Annual Funds
Annual Funds & Dues
Scholarship
Other
Specify Your Other Selected Contributions (if applicable)
           
Routing # is: A value is required.Bank of America
Bank Account # is: A value is required.Contact NDPAC at (813) 558-1153 to obtain
           
End Transfer Date (Check mark your desired selection)
   

Selected End Date
Please make a selection.
     


Questions? Contact us at (813) 558-1153 or (813) 494-7430.

Thank you and we are very grateful for your continued support.


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