I/we, NAME, hereby authorizes Brother Ben Ministries to charge $AMOUNT on a CYCLE cycle, starting on DATE, continuing for RECURS cycles, to the account ending with LASTFOUR.
This authorization is to remain in full force and effect until Brother Ben Ministries has received written notification from me/us of its termination in such time and in such manner as to afford Brother Ben Ministries a reasonable opportunity to act on it.
NAME