This form supports automatic deductions (a single payment or repeating ). If you desire to make the payments yourself (e.g., though a billpayer service, or manually), make the check payable to Eta Iota House Corporation and mail to the address below.

If desired, you may print the form instead and mail to:

Seth Downs
9121 Brewsters Dr
Anchorage AK 99516

Name
Contact Number
E-mail Address
Bank Name

Bank Routing Number

Bank Account Number

Contribution Level

Your monthly draft will remain in full force and effect until revoked by you, your financial institution or the Eta Iota House Corporation This option is offered at no charge by the Eta Iota House Corporation for fund raising purposes. To request adjustments to incorrect charges or to cancel this option, contact the Eta Iota House Corporation Treasurer or Fund raising Chairman. Current contact information can be found on the House Corp page at www.etaiota.org.

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