PRE-AUTHORIZED DEBIT AGREEMENT (PAD) Desired date for direct debit (except 29, 30 and 31)DAYPre-Authorized Debit Agreement (Pad) • February 5th, 2019
Contract Type FiledFebruary 5th, 2019A – Payor information Account holder Joint account holder Last name First name Last name First name Company name (if the account is that of a company) Address No. Street Apt. City Province Postal code Telephone E-mail Home Cell B – Bank account information Financial institution Name Address No. Street City Province Postal code Bank account Institution no. Branch transit no. Account no.