LDS BILLPAY FORM

							Bill Payment Service Electronic Donation Information

                                      50 East North Temple Street
                                      Room 1521
                                      Salt Lake City UT 84150

                                      Email: Donations@ldschurch.org
                                      Facsimile: 801-240-2202
                                      Telephone: 801-240-2554
Before making an electronic donation (ACH) through your bill payment service, please complete the
information below. Mail, email, or fax the completed form to the address / fax number above.
       Statements by Mail    Statements by Email             Add new donor            Modify donor information

Donor Information
Primary Name                                             Member record number (from Bishopric or recommend)
                                                               -       -
                                                         (Your Payee Account No.)
Spouse name (if donating together)

Mailing address                                          Primary telephone #          E-mail address

City                                                     State             Zip Code            Country



Instructions for making electronic (ACH) donations through bill pay services:

The Payee Account Number is your member record number (MRN) ###-####-#### (zeros and
dashes are required).

The Payee Name is the donation category
(enter these exactly as shown below):                 Donations will be applied to these General Funds:
LDS-Tithing                                           (General Tithing Fund only)
LDS-Fast Offering                                     (General Fast Offering Fund only)
LDS-Missionary (General)                              (General Missionary Fund-no ward missionary funds)
LDS-Book of Mormon                                    (General Book of Mormon Fund)
LDS-PEF                                               (General PEF Fund only)
LDS-Other                                             (General Humanitarian Fund only)

The Payee Address and telephone number to input in your Bill Pay Service (if requested) are listed at the
top of the page; please input the address exactly as formatted above.

 The bill pay service can be used only for the categories listed above. Fast Offering donations go to the
General Fast Offering Fund and cannot be processed as ward Fast Offering donations. Missionary
donations are credited to the General Missionary Fund only. Ward missionary donations cannot be made
by bill pay service. All donations to the “Other” category are credited to the General Humanitarian Fund.

A few days after you initiate your first donation please call or email our office to verify that your donation
posted correctly to your account.

If you wish to donate to categories not available through the bill pay process explained above, please
contact your local unit or mail the donation along with a donation slip or letter of explanation to the
address listed at the top of this form.

Thank you for your interest in donating to the Church through the bill payment process.