World Services for the Blind Contribution Authorization Agreement
I hearby authorize World Services for the Blind (WSB) to withdraw funds from my account by initiating debit entries to the financial institution named below. In the event that WSB withdraws erroneously from my account, I authorize WSB to credit my account for the amount erroneously withdrawn. This agreement will remain in effect until WSB receives a written notice of cancellation.
WSB will process your contribution on or around the 25th of each month unless you indicate another date in the form below. For questions, please contact us.