Planned Bank Account Withdrawals

By completing and submitting the form below I (we) hereby authorize the Humane Society of the Tennessee Valley (HSTV) to initiate debit enters to my (our) account indicated below and the deposit named below. Account will be debited monthly on the 15th or the closest business day thereof. This will remain in full force until HSTV receives written notification from me of its termination in such a time and manner as to afford HSTV and my (our) Bank a reasonable opportunity to act on it.

Planned Account Withdrawals

  • By filling out you agree to our terms and conditions listed above.