Common Contracts
1 similar Pre-Authorized Debit Agreement (Pad) contracts
PRE-AUTHORIZED DEBIT AGREEMENT (PAD) FORMPre-Authorized Debit Agreement (Pad) • January 14th, 2021
I/we, the payor, authorizes the College of Licensed Practical Nurses of Prince Edward Island (CLPNPEI) to debit my specified bank account in the amount of $46.00 ($45.00 + $1.00 service fee) per month, payable in 10 monthly installments, on the first banking day of each month from April to January, to pre-pay my Licensed Practical Nurse registration fee for the following year. This authority is to remain in effect until the CLPNPEI has received written notification from me of any changes (i.e. change of banking account information) or termination. This notification must be received at least 30 days before the next debit is scheduled at the address below. I/we may obtain a cancellation form by contacting the CLPNPEI office. 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 debit that is not authorized or is not consistent with this Pre-Authorized Debit (PAD) Agreement. To obtain more info
