Calvary Chapel Monterey Bay3001 Monterey-Salinas Hwy

Monterey, CA 93940

CREDIT CARD AUTHORIZATION FORMHow to use this form:

1. Print it out2. 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 Ichange or cancel this agreement. I understand that I must contact the Church office bythe 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 orMasterCard 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 Bay3001 Monterey-Salinas HwyMonterey, 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!