Iron Knot Ranch
(Chagdud Lhundrub Ling)
Automated Donation Agreement

Name: ____________________________________________________________________

Address: ___________________________________________________________________

City/State/Zip: _____________________________________________________________

Phone: ____________________________________________________________________

Email: _____________________________________________________________________

Specific activity you’d like to support: ___________________________________________

Account Number: ________________________ __Checking __Savings

Routing Number (found in the lower left-hand corner of your check): ______________________

I authorize the transfer of $_______ from my bank account to the bank account of Iron Knot
Ranch. I understand a record of each donation will be included on my monthly bank statement.

_______________________________________________ ___________________
Signature & Date

__ Please send me an email confirming receipt of this form.

Iron Knot Ranch is a non-profit, 501(c)3 organization. Your contributions are tax-deductible. You
will receive an annual statement of contributions for your records.

Please mail this form, along with a check marked VOID, to:

Iron Knot Ranch
P.O. Box 215
Duncan, AZ 85534

Thank you for your most generous donation! Your contribution will help support the
development of Iron Knot Ranch. May all beings benefit!