AUTHORIZED DEBIT AGREEMENT Sample Clauses

AUTHORIZED DEBIT AGREEMENT. The United Counties of Leeds and Grenville, as Payee, shall provide to you, the Payor, at least 10 calendar days notice of any change in the amount to be debited from your account. Funds will generally be withdrawn on the 1st day of each month; however, occasionally it may be delayed due to statutory holidays or unforeseen circumstances. At such times it will be processed at the earliest possible date. Depending on your banking institution, it may take several days for the debit to be reflected in your account. You, the Payor, acknowledge that in the event there are insufficient funds in the account to cover the Pre- Authorized Debit, you will be charged a $20.00 administration fee by the Payee, and you are responsible to pay the amount of the Pre-Authorized Debit by another method (i.e. cash or money order). You, the Payor, may revoke your authorization at any time in writing, subject to providing 10 calendar days notice to the United Counties of Leeds and Grenville, Community and Social Services Division. To obtain a cancellation form, or for more information of your right to cancel a Pre-Authorized Debit Agreement, contact your financial institution, or visit xxx.xxxxxxxx.xx.
Sample 1
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AUTHORIZED DEBIT AGREEMENT. Please attach a blank personalized Cheque marked ‘VOID’, or attach your Bank-Provided Account Information Form with every new application or change. Please check one of the following: ❑ I want to pay my bill through QUARTERLY payments, to be withdrawn from my account on the 15th of March, June, September, and December for my Domestic Water Utility Bill. ❑ I want to pay my bill through EQUAL MONTHLY payments to be withdrawn from my account on the 15th of each month for my Domestic Water Utility Bill. ❑ I want to pay my bill through MONTHLY payments to be withdrawn from my account on the 15th of each month for my Commercial, Industrial, Institution or Strata Water Utility Bill. ❑ Please change my bank account information (new bank details attached). ❑ Please cancel my Pre-Authorized Payment Plan. BMID Account Number: Type of Service: Personal Business Date Received: Service Address: Name/Company: Mailing Address: (if different from Service Address) (City) (Postal Code) Home Phone: Bus./Cell Phone: Financial Institution (FI): FI Account Number: FI Transit Number: (Branch – 5 digits) (Bank – 3 digits) FI Address: Pre-Authorized Payment Plan Service Agreement: I/We authorize Black Mountain Irrigation District (BMID) and my financial institution designated (or any other financial institution I/we may authorize at any time) to begin deductions as per my/our instructions for regular (monthly or quarterly) recurring payments for all charges arising under my/our BMID water utility billing account(s). Regular payments for the full amount of services delivered will be debited to my/our specified bank account on the 15th day of each month or quarter (as indicated in the option checked above). BMID will provide at least ten (10) days’ written notice of the amount of each regular debit. If I/we have opted for mail delivery (instead of email delivery) of my utility bill, I/we will waive the ten day requirement if my mail delivery is delayed. This authority is to remain in effect until BMID has received written notification from me/us of its change or termination. This notification must be received by BMID at least ten (10) business days before the next debit is scheduled. I/we can obtain information on my/our right to cancel a PAD Agreement at my/our financial institution or by visiting xxx.xxxxxxxx.xx. Cancellation of this PAD Agreement will not end my contractual obligation to BMID for water utility services provided. BMID may not assign this authorization, whether dire...
Sample 1
AUTHORIZED DEBIT AGREEMENT. (Granton) Community Bible Church is now making a Pre-Authorized donation plan available to its supporters. Here is how it works: when you enroll in the plan, a monthly gift is automatically deposited on the third Friday of the month to Community Bible Church from your chequing account. If you choose weekly debit it will occur on every Friday. To become involved, all that is required is that you fill out the authorization form on this page, and return it to Community Bible Church during regular office hours, or place in an offering box Sunday morning. Please print. Name: Address Spouse’s name (if joint account) Please debit my bank account: Monthly amount: $ or Weekly: $ *If you want your tithe allocated to General, Mission and Capital, please identify the amount for each fund. I may revoke my authorization at any time, subject to providing 14 days notice to church accountant. I have certain rights if any debit does not comply with this agreement. To obtain more information on my recourse rights, I may contact my financial institution or visit xxx.xxxxxx.xx Signature: Date: Please attach a blank cheque marked “VOID”
Sample 1
AUTHORIZED DEBIT AGREEMENT. I want to support AL-BAAQI MASJID through monthly donations. By signing this agreement, I authorize AL-BAAQI FOUNDATION to debit my bank account monthly on the day of the month. Please debit my bank account: (attach VOID Cheque): □ $50 □ $100 □ $500 □ $1000 □ Other Amount $ For the purpose: □ General Donation □ Sadaqa □ Zaakat Pre-Authorized Name on Account: Billing Cycle: Monthly Cheque/Debit Account # Bank # Transit # □ Type of Donation: Personal □ Business □ Void Cheque Received □ I authorize AL-BAAQI FOUNDATION to charge the credit card listed below for the amounts set forth above, Credit Card Cardholder Name: Billing Cycle: Monthly □ Card # Expiration Date: Type of Card: VISA □ MasterCard □ AMEX □ Payment date of Month: This authority is to remain in effect until AL-BAAQI FOUNDATION has received written notification from me/us of its change or termination. This notification must be received at least thirty (30) days before the next debit is scheduled at the address provided above. I/We may obtain a sample cancellation form, or more information on my/our right to cancel Pre-Authorized Debit Agreement at my/our financial institution or by e-mailing at xxxxxx@xxxxxxx.xx. I/We have certain recourse rights if any debit does not comply with this agreement. For example, I/We have the right to receive reimbursement for any Pre-Authorized Debit that is not authorized or is not consistent with this Pre-Authorized Debit Agreement. To obtain a form for Reimbursement Claim, or for more information on my/our recourse rights, I/We may contact my/our financial institution. Donor Signature(s): Date: Donor Information: Donor Name(s): Tel No. ( ) Email Address: Home Address: City: Province: Post Code: AL-BAAQI FOUNDATION Authorized Signature(s): Date: 000-0000 Xxxxx Xxxxxx, Xxxxxx, XX X0X 0X0 Tel: (000) 000-0000 Email: xxxxxx@xxxxxxx.xx
Sample 1
AUTHORIZED DEBIT AGREEMENT. Please provide a separate authorization for each property 22-08 -000-00 _ - _ - 0000 Property Roll Number _ Property Address _ Registered Owner (s) _ Mailing Address (if different from the property address) Home Phone # Cell Phone # ( ) _ _- ( _ ) - _ Email Address Banking Information Financial Institution Name: Address: Acct No _ _ _ _ _ _ _ _ _ _ _ _ _ Transit _ _ _ _ _ Financial Institution No _ _ _ Savings Chequing PLEASE ATTACH A “VOID” CHEQUE You, the payor authorize the Municipality to debit identified below: Please register me for: (Check only one plan) Due Date Monthly Plan -28th of each Month These services are for (check one): Business Personal You, the Payor may revoke your authorization at any time in writing subject to providing notice of 30 days to the Township of Amaranth. To obtain a sample cancellation form, or further information on your right to cancel a PAD Agreement, contact your financial institution or visit xxx.xxxxxxxx.xx. _ Name (please print) _ 1st Signature Date _ 2nd Signature Date If more than one signature is required on cheque issued against the account, all depositors must sign. You have certain recourse rights if any debit does not comply with this agreement. For example, you have the right to receive reimbursement for any debit that is not authorized or is not consistent with this PAD Agreement. To obtain more information on your recourse rights, contact your financial institution or visit xxx.xxxxxxxx.xx.
Sample 1
AUTHORIZED DEBIT AGREEMENT. In order to use the "Auto-Save" function of the Program, you must also agree to variable pre-authorized debits and credits from your Funding Source which shall be initiated by Momentum. These amounts will have been specified by you in your Profile. The Funding Source will be the source of all Deposits, and the destination of all Withdrawals. If you provide untrue or incorrect information in connection with the Program, you are solely responsible for losses you may suffer in your account or that may be suffered by Momentum or any third party in connection with any other accounts associated with this information. By agreeing to these Terms, you authorize each of Momentum and its designated financial institution, acting on behalf of Momentum (and any other third party service provider acting on behalf of Momentum), to electronically debit and credit your designated Linked Bank Account via PAD and, if ever applicable, to correct erroneous debits and credits via EFT. You acknowledge that the electronic authorization contained in this section, along with a PAD form as provided from your financial institution, represents your written authorization for PAD transactions as provided herein and will remain in full force and effect until you notify Momentum that you wish to revoke this authorization by emailing xxxxxxxxxxxxx@xxxxxxxx.xxx. By agreeing to these Terms of Service, you are also agreeing to the PAD Agreement. If you do not agree to the PAD Agreement, you may not use the Momentum Online Savings Program. Terms of this Pre-Authorized Debit Agreement You acknowledge that the amount and frequency of any pre-authorized debits and credits may vary and that you waive your right to receive prior notice of the amount and date of each pre-authorized debit and credit. This authorization is a "Personal PAD", as such term is defined in the Canadian Payment Association Rule H1 ("Rule H1"). The PAD amount will be variable based on the amount you specify from time to time. PADs will be sporadic based on the PAD amount. This authorization authorizes "Sporadic PADs" (within the meaning of Rule H1). Accordingly, we are required to obtain due "Authorization" (within the meaning of Rule H1) for each and every Sporadic PAD under this authorization. Your initiation of an instruction to Momentum to transfer funds from your Linked Bank Account will constitute valid and due Authorization for each Sporadic PAD and will constitute delivery of your authorization to your bank to debit yo...
Sample 1
AUTHORIZED DEBIT AGREEMENT. Please provide a separate authorization for each property. 22-19-000-00 0000 Property Roll Number Property Address: Registered Owner: Home Phone # Cell Phone # ( ) ( ) E-mail Address Banking Information Financial Institution Name: Address: Account No. Transit No. Financial Inst. No. Savings Chequing PLEASE ATTACH A “VOID” CHEQUE You, the payor authorizes the Municipality to debit identified below: Please register me for: (Check only one plan) Due Date Monthly Plan (28th of each month) You, the Payor may revoke your authorization at any time in writing subject to providing notice of 30 days to the Township of Melancthon. To obtain a sample cancellation form, or further information on your right to cancel a PAD agreement, contact your financial institution or visit xxx.xxxxxxxx.xx. Name (Please print) 1st Signature Date 2nd Signature Date If more than one signature is required on cheque issued against the account, all depositors must sign. You have certain recourse rights if any debit does not comply with this agreement. For example, you have the right to receive reimbursement for any debit that is not authorized or is not consistent with the PAD Agreement. To obtain more information on your recourse rights, contact your financial institution or visit xxx.xxxxxxxx.xx.
Sample 1
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AUTHORIZED DEBIT AGREEMENT. I/we hereby authorize CS Management Inc. to initiate a Pre-Authorized Debit (PAD) (as defined in Canadian Payment Association (CPA) Rule H1) in the amount as indicated on this form. I/we hereby authorize my financial institution to pay and debit my Account on the first banking day of the specified month. Delivery of this authorization constitutes delivery of it by myself/us and the treatment of this debit should be the same as if the undersigned had personally directed the payment as indicated. I/we acknowledge the Processing Member is not required to verify that a PAD had been issued in accordance with particulars of the authorization. I/we may dispute a PAD by completing and presenting such to the branch of the Processing Member up to and including 10 calendar days for business accounts and up to and including 90 calendar days for personal accounts. Any dispute beyond the allowable times is a matter to be resolved solely between us and CS Management Inc. I/we understand that I/we may cancel this authorization at any time by written notice to CS Management Inc. and that upon receipt CS Management Inc. shall cease the withdrawal authorized by this agreement.
Sample 1

Related to AUTHORIZED DEBIT AGREEMENT

  • Authorized Access Transfer Agent shall have controls that are designed to maintain the logical separation such that access to systems hosting Fund Data and/or being used to provide services to Fund will uniquely identify each individual requiring access, grant access only to authorized personnel based on the principle of least privileges, and prevent unauthorized access to Fund Data.

  • Authorized User’s Statement of Work A competitive Mini-Bid is required for every transaction under this Centralized Contract. An Authorized User must prepare a detailed Statement of Work using Appendix F, Attachment 1, Mini-Bid Template. The Authorized User must distribute the Mini-Bid to all qualified Vendors per Lot(s) (unless a Vendor has removed itself from consideration via the Appendix F, Attachment 5, Mini-Bid Participation Interest Template). Contact information, organized by Lot, will be available on the OGS website for this Contract. An Authorized User shall conduct its Mini-Bid in accordance with the requirements set forth in Appendix F, Attachment 2, How to Use this Contract. The following terms and conditions shall apply to each Mini-Bid issued by an Authorized User:  An Authorized User may require the execution of unique forms, such as Confidentiality Non- Disclosure agreements; and  An Authorized User is required to make tentative award and non-award notifications to each Contractor who submitted a response to the Mini-Bid. Additionally, the minimum time, excluding the date of release, between issuance of the Mini-Bid by the Authorized User to the Mini-Bid Opening is as follows:  Xxx 0 Xxxx-Xxxx: Xxxx (0) Xxxxxxxx Xxxx  Xxx 0 Mini-Bids: Ten (10) Business Days

  • Authorized Deductions The Board agrees that whenever duly authorized by any employee on a form or forms appropriate for such purpose and consistent with the regulations established by the Business Services, payroll deductions shall be made and paid over in accordance with such form or forms for any or all of the following purposes:

  • Amending Agreement The Trustees are directed to amend the Trust Agreement or the Pension Plan to be consistent with the provisions of this Agreement. The Trustees shall have discretion in acting on claims for benefits under the plan subject to review only in accordance with the arbitrary and capricious standard.

  • Vendor Agreement Signature Form (Part 1)

  • Authorized User You may request us to issue a Card to an individual who has no financial responsibility under this Agreement. An Authorized User has the same access to your Account as you do, subject to any limitations we may impose. An Authorized User has no authority to add or delete Cardholders, request a replacement Card or terminate or modify this Agreement. You may terminate an Authorized User’s authority to access your Account at any time. To do this, you must return the Card to PenFed. You agree that you are responsible for all charges and cash advances made by an Authorized User, including charges made before the Card is returned, recurring charges, or charges made without the use of the Card initiated by the Authorized User after termination of the Authorized User’s access.

  • CONTRACTOR STAFF WITHIN AUTHORIZED USER AGREEMENT The provisions of this section shall apply unless otherwise agreed in the Authorized User Agreement. All employees of the Contractor, or of its Subcontractors, who shall perform under an Authorized User Agreement, shall possess the necessary qualifications, training, licenses, and permits as may be required within the jurisdiction where the Services specified are to be provided or performed, and shall be legally entitled to work in such jurisdiction. All Business Entities that perform Services under the Contract on behalf of Contractor shall, in performing the Services, comply with all applicable Federal, State, and local laws concerning employment in the United States. Staffing Changes within Authorized User Agreement

  • Authorized Uses The Participating Institutions and the Authorized Users may make all use of the Licensed Materials as is consistent with the applicable law and with this Agreement, including but not limited to the following licensing conditions ("Authorized Uses"). In addition, the Licensed Materials may be used for purposes of research, education or other non-commercial use as particularly follows:

  • NOTIFICATION OF PRE-AUTHORIZED DEPOSITS If You have arranged to have direct deposits made to Your Account at least once every 60 days (from Your employer, the Federal government or other payor), You can call Us at the telephone number shown in this Agreement to find out whether or not the deposit has been made.

  • Florida Authorized Insurers All insurance shall be with insurers authorized and eligible to transact the applicable line of insurance business in the State of Florida. The Contractor shall provide Certification(s) of Insurance evidencing that all appropriate coverage is in place and showing the Department to be an additional insured.

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