Return to Ordering Options
Order by Credit Card Via FAX
1. Complete this form, print, then FAX to 1.800.697.9997
2. All fields are required on this page.
DOMAIN:
www.churchgive.com
What Would You Like to Order?
Basic Vcheck System
($139.95 per year).
No per check/transaction fees. Max. 200 checks a month. Includes phone, fax and online check options, including optional signature capture form.
All the upgrades listed below are OPTIONAL. The Pro System includes them all.
Words in
Orange
will display more details when you mouse over them.
Upgrade for
Recurring Payments / Repeat Customers
($49.95 per year).
Upgrade for
Multiple Payees
($49.95 per year).
*
Business verification required.
Upgrade for
Additional Users
($49.95 per year).
*
Unique logins/permissions for multiple Admins.
Upgrade for
Check Batching
($49.95 per year).
*
Batch multiple checks into one PDF file.
Upgrade for
Custom Emails
($49.95 per year).
*
Customize content of notice/receipt email.
Upgrade for
Advanced Reports
($49.95 per year).
*
Reports available in .CSV format.
Upgrade for
Batch Check Upload
($49.95 per year).
*
Upload 1 - 10000 checks in .CSV format.
Basic High Volume System
($279.95 per year).
Up to 600 checks per month and includes Recurring/Repeat Customers upgrade. Includes all check submission options.
Pro Level System
($3139.95 per year).
Includes ALL upgrades above and 4000 checks a month.
Pro Level System
($225.00 2x a year).
Includes ALL upgrades above and 4000 checks a month.
Pro Level System
($120.00 4x a year).
This will be billed automatically to your credit card.
Grand Total
To Whom Will the Checks You Receive be Made Payable?
Your Company Name (Payee)
Additional Required Data for Your Account
Email Address for new check
Notifications
Business Hours Phone Number (XXX) XXX-XXXX
(This will appear on check receipts)
Your Time Zone:
Checks are date/time stamped.
Select the Major City that is in your time zone.
Adak
Anchorage
Boise
Chicago
Denver
Detroit
Indiana/Indianapolis
Indiana/Knox
Indiana/Marengo
Indiana/Petersburg
Indiana/Tell City
Indiana/Vevay
Indiana/Vincennes
Indiana/Winamac
Juneau
Kentucky/Louisville
Kentucky/Monticello
Los Angeles
Menominee
Metlakatla
New York
Nome
North Dakota/Beulah
North Dakota/Center
North Dakota/New Salem
Phoenix
Shiprock
Sitka
Yakutat
Desired User Name:
Used to login to your control panel
Desired Password:
What is a
Strong Password (?)
The password strength meter above right must be at least 3/4 full and in the green before submitting.
Point of Contact
Your Name
Your Direct Daytime Phone:
Your FAX Number
(if you wish to receive invoices by FAX)
Email Address
(Using a Free address will delay your order)
Confirm Email Address
Credit Card Data
Card Owner's Name
(as on card)
Card Type
VISA
Master Card
American Express
Card Number
(No Spaces)
Expires
Jan\01
Feb\02
Mar\03
Apr\04
May\05
Jun\06
Jul\07
Aug\08
Sep\09
Oct\10
Nov\11
Dec\12
2009
2010
2011
2012
2013
2014
2015
2016
2017
3 or 4 Digit CVN Number
(What is that?)
Complete Billing Address
*
The Multiple Payees option requires a copy of business licenses and phone verification.
Enter the Primary Payee above. Additional payees may be added later.