Direct Deposit Setup

Please fill out the form below:

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State ZIP Code

Name of Bank(Required)

Type of Account(Required)

Checking

Savings

Account #(Required)

Routing #(Required)

Attach a voided check for each bank account to which funds should be deposited(Required)

Max. file size: 12 MB.

Crossover Ministries Inc. (DBA: CUPS Mission) is hereby authorized to directly deposit my pay to the account listed above. This authorization will remain in effect until we modify or cancel it in writing.

Employee Signature(Required)

Date(Required)

CUPS Mission, a ministry of Crossover Ministries, Inc, is a 501(c)(3) tax exempt organization with FEID Number: 57-0907653. All gifts are tax deductible to the full extent allowed by law. Contributions are solicited with the understanding that CUPS Mission has complete control over the use of all donated funds. Our Board-approved policy is that all gifts designated for a specific project be applied to that project, with minimal use for administrative and fundraising expenses. Occasionally we receive more contributions for a given project than can be wisely applied to that project. When that happens, we use these funds to meet the next most pressing need.

2607 WOODRUFF RD STE E # 418
SIMPSONVILLE, SC 29681
(877) 291-6501