Common Contracts
1 similar Pre-Authorized Debit (Pad) Plan Agreement contracts
PRE-AUTHORIZED DEBIT (PAD) PLAN AGREEMENTPre-Authorized Debit (Pad) Plan Agreement • June 30th, 2017
Please complete the Pre-Authorized Debit (PAD) Plan agreement below and return toTRIBE MANAGEMENT INC. Please note: Fields marked with an asterisk (*) must be completed New Enrollment Change in Banking InformationPLEASE PRINTName(s) of Registered Shareholder*: Name(s) of Bank Account Holder*: (if different from registered shareholder)Company Name*: Unit No.*: Address*: City/Town: Province: Postal Code: Commencement Date*: The first day of , 20 .NOTE: This form, together with either an acceptable VOID pre-printed cheque or Appendix 1 hereto, both from a Canadian fund account, must be received by TRIBE MANAGEMENT INC. no later than the 15th day of the month prior to the Commencement Date in order to be effective on the Commencement Date. IMPORTANT: The account from which TRIBE MANAGEMENT INC. is authorized to draw upon is indicated below. A specimen pre-printed cheque from a Canadian fund account has been marked "VOID" and attached in this space. The undersigned hereby authorizes
