Common Contracts
1 similar Pre-Authorized Debit Agreement contracts
Pre-Authorized Debit AgreementPre-Authorized Debit Agreement • May 3rd, 2023
Donor Name Home Address Unit/Apt. # City/Prov. Postal Code Email Phone Name of Financial Institution Account # Transit # Financial Institution # I authorize the Grace Hospital Foundation and the financial institution named above (or indicated on the void cheque I have provided) to withdraw $ from my account for personal monthly recurring donations. This authority is to remain in effect until Grace Hospital Foundation has received notification from me of its change or termination. I agree to provide the Grace Hospital Foundation with a minimum of 10 days advance notice prior to my debit for processing any changes inclusive of cancellation.I acknowledge that I have certain recourse rights that I can follow if any debit does not comply with this agreement. For example, I 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, please contact your financial institutio
