Disclosure of Personal Information. I hereby agree that the information contained in my application for pre-authorized payments be communicated to my financial institution, insofar as this information is directly related and necessary to the proper implementation of the rules governing pre-authorized payments. Signature of account xxxxxx (to authorize the PPA) SIGNED ON : / / X IN THE CITY OF : Signature of second account holder (if account requires two signatures) SIGNED ON : / / X IN THE CITY
Appears in 2 contracts
Samples: www.xittel.net, www.xittel.net
Disclosure of Personal Information. I hereby agree that the information contained in my application for pre-authorized payments be communicated to my financial institution, insofar as this information is directly related and necessary to the proper implementation of the rules governing pre-authorized payments. Signature of account xxxxxx (to authorize the PPA) X SIGNED ON : / / X IN THE CITY OF : Signature of second account holder (if account requires two signatures) SIGNED ON : / / X IN THE CITY)
Appears in 2 contracts
Samples: maskatel.ca, maskatel.ca
Disclosure of Personal Information. I hereby agree that the information contained in my application for pre-authorized payments be communicated to my financial institution, insofar as this information is directly related and necessary to the proper implementation of the rules governing pre-authorized payments. Signature of account xxxxxx holder (to authorize the PPA) X SIGNED ON : / / X IN THE CITY OF : Signature of second account holder (if account requires two signatures) SIGNED ON : / / X IN THE CITY)
Appears in 1 contract
Samples: maskatel.ca