Automatic Transfer for Partners In Possibility monthly givers

Fill out the form below to switch to making your monthly gifts by automatic electronic transfer from your checking account — instead of by check or credit card. Automatic transfers are easier than writing a check every month or making credit card payments, you'll save even more lives by reducing our administrative costs each year, and Mercy Corps securely encrypts your bank data provided on this form. Thank you for your continued monthly support of Mercy Corps and the families and communities we work with around the world.

If you have questions about automatic electronic transfers, please call Stephanie, your monthly giver donor representative at (888) 842-0842.

First name *

Last name *

Email *

Address

City

State

Zip *

Country

Phone

Bank information

Location of routing and account numbers identified on a mock check.

Bank name *

Routing number *

Account number *

Terms of Agreement: My authorization to transfer my monthly gift from my bank shall remain in effect until I notify Mercy Corps that I wish to end this agreement and Mercy Corps has had reasonable time to act on it. A record of each payment will be included on my monthly bank statement and will serve as my receipt.

I agree *

Digital Signature *