Common Contracts
2 similar Pre-Authorized Debit (Pad) Agreement contracts
Self-Payment Electronic Funds Transfer (EFT) Pre-Authorized Debit (PAD) AgreementPre-Authorized Debit (Pad) Agreement • March 4th, 2016
Please complete the Pre-Authorized Debit (PAD) Plan agreement below I/we authorize Laborers’ Health & Welfare Trust Fund of Western Canada, and the financial institution designated (or any other financial institution I/We may authorize at any time) to begin deductions as per my/our instructions for a monthly Personal Pre-Authorized payments and/or one-time payments from time to time, for payment of all charges arising under my/our account with Laborers’ Health & Welfare Trust Fund of Western Canada. Regular monthly payments for the full amount of services delivered will be debited to my/our specified account on the 1st day of each month. The administrator for Laborers’ Health & Welfare Trust Fund of Western Canada will provide 15 days written notice of the amount of each regular debit. Laborers’ Health & Welfare Trust Fund of Western Canada will obtain my/our authorization for any other one-time or sporadic debits. This authority is to remain in effect until Laborers’ Health & Welfare
Self-Payment Electronic Funds Transfer (EFT) Pre-Authorized Debit (PAD) AgreementPre-Authorized Debit (Pad) Agreement • March 4th, 2016
Please complete the Pre-Authorized Debit (PAD) Plan agreement below I/we authorize Laborers’ Health & Welfare Trust Fund of Western Canada, and the financial institution designated (or any other financial institution I/We may authorize at any time) to begin deductions as per my/our instructions for a monthly Personal Pre-Authorized payments and/or one-time payments from time to time, for payment of all charges arising under my/our account with Laborers’ Health & Welfare Trust Fund of Western Canada. Regular monthly payments for the full amount of services delivered will be debited to my/our specified account on the 1st day of each month. The administrator for Laborers’ Health & Welfare Trust Fund of Western Canada will provide 15 days written notice of the amount of each regular debit. Laborers’ Health & Welfare Trust Fund of Western Canada will obtain my/our authorization for any other one-time or sporadic debits. This authority is to remain in effect until Laborers’ Health & Welfare
