By completing this form, I authorize the Victoria Christian Education Society (PCS) to debit the bank account provided for all charges under my Tuition Agreement with Pacific Christian School. For the annual cost of personal education services,...Authorized Debit Agreement • February 6th, 2023
This authority is to remain in effect until Pacific Christian school has received written notification of its change or termination. This notification must be received at least 30 days before the next debit is scheduled.
PRE-AUTHORIZED DEBIT AGREEMENTAuthorized Debit Agreement • September 28th, 2023
I/We may cancel this authorization by advising CWT in writing at least 10 days prior to the next date of the PAD. I/we may obtain a sample cancellation form or further information on my/our right to cancel this agreement at my/our FI or by visiting www.cdnpay.ca.
PRE-AUTHORIZED DEBIT AGREEMENT (PAD) STRATA FEESAuthorized Debit Agreement • April 6th, 2020
Please note that this form must be received by Korecki Real Estate Services Inc., no later than the 20th of the month prior to the month the PAD is to commence. (i.e. to be on the PAD plan for the month of July the form must be received by June 20th)
Pre-Authorized Debit AgreementAuthorized Debit Agreement • May 22nd, 2020
Ensure you read and understand the section “Collection and use of Personal Information”. The Payor(s) named below agrees that:
PRE-AUTHORIZED DEBIT AGREEMENTAuthorized Debit Agreement • March 4th, 2015
Your estimated annual charges will be split into 11 equal monthly payments that will be withdrawn from your designated bank account on the 15th or 20th (Bracebridge customers) of the month, followed by a reconciliation payment on the 12th month. To ensure the plan is consistent with customer usage, the District frequently reviews accounts to ensure that the monthly payment amount accurately reflects each customer’s consumption patterns and changes. If there is a significant difference, the District notifies the customer if a change to their monthly payment amount is required.
Please complete the Pre-Authorized Debit (PAD) Plan agreement below.Authorized Debit Agreement • August 29th, 2016
This authority is to remain in effect until Guardian Risk Managers Ltd. has received written notification from me/us of its change or termination. This notification must be received at least ten (10) business days before the next debit is scheduled at the address provided below. I/we may obtain a sample cancellation form, or more information on my/our right to cancel a PAD agreement at my/our financial institution or by visiting www.cdnpay.ca.
IOTPAY MERCHANT AGREEMENTAuthorized Debit Agreement • August 13th, 2020 • British Columbia
In consideration of the mutual covenants and obligations contained herein and other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, IOTPAY (as defined below) and Merchant (as defined below) agree as follows:
Pre-Authorized Debit Agreement (PAD Agreement)-Authorized Debit Agreement • April 18th, 2018
In order to set up a bank account for debits by electronic entry, you must submit a completed and signed PAD Agreement and a void cheque. This form authorizes WEX Canada, Ltd. to debit your account when you schedule an online payment from a specific bank.
Canada Pre-Authorized Debit Agreement (“PAD”)-Authorized Debit Agreement • May 4th, 2021
PRE-AUTHORIZED DEBIT AGREEMENTAuthorized Debit Agreement • September 1st, 2009
PRE-AUTHORIZED DEBIT AGREEMENTAuthorized Debit Agreement • May 16th, 2019
Pre-authorized debit (PAD) is an ideal, flexible and quick method for paying fees due to SODEC. With your permission, SODEC will withdraw the amount due from the banking account of your choice. To register for the PAD service, fill out the form below, specify the fee to be paid and the withdrawal date, and include a void cheque. This agreement, which may become effective after the specified date on this form, is valid for only one withdrawal.
Pre-Authorized Debit AgreementAuthorized 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
Pre- Authorized Debit AgreementAuthorized Debit Agreement • January 13th, 2022
Pre-Authorized Debit Agreement (PAD)Authorized Debit Agreement • January 22nd, 2013
Account Holder (First & Last Name or Business name) : Address: Telephone no.: Account Co-holder (as applicable): Address: Telephone no. :
PRE-AUTHORIZED DEBIT AGREEMENT – MUNICIPAL ACCOMMODATION TAXAuthorized Debit Agreement • August 1st, 2018
Pre-Authorized Debit AgreementAuthorized Debit Agreement • August 18th, 2022
Pre-Authorized Debit AgreementAuthorized Debit Agreement • June 23rd, 2020
Please return this completed form (please fill in ALL fields) via email to donations.canada@marysmeals.org, or mail to the following address:
RAVEN TRUST PRE-AUTHORIZED DEBIT AGREEMENTAuthorized Debit Agreement • July 22nd, 2015
NEW SIGN-UP CHANGE MY INFORMATIONAuthorized Debit Agreement • October 20th, 2020
Donor 1 First Name Middle Name Last Name Donor 2 First Name Middle Name Last Name Business Name (if applicable) Address City Province Postal Code Email Address Phone Number
Please complete the Pre-Authorized Debit (PAD) Plan agreement below.Authorized Debit Agreement • August 29th, 2016
This authority is to remain in effect until Guardian Risk Managers Ltd. has received written notification from me/us of its change or termination. This notification must be received at least ten (10) business days before the next debit is scheduled at the address provided below. I/we may obtain a sample cancellation form, or more information on my/our right to cancel a PAD agreement at my/our financial institution or by visiting www.payments.ca.
London Hydro Pre-Authorized Debit AgreementAuthorized Debit Agreement • July 6th, 2023
This authority will remain in effect until London Hydro Inc has received written notification from me/us of its change or termination. This notification must be received at least ten (10) business days before the next debit is scheduled at the address provided below. I/we may obtain a sample cancellation form, or more information on my/our right to cancel a PAD agreement at my/our financial institution or by visiting www.payments.ca. London Hydro Inc may also cancel this PAD agreement on not less than five (5) business days of notice to me/us.
Pre-Authorized Debit Agreement Application-Authorized Debit Agreement • September 23rd, 2019
PRE-AUTHORIZED DEBIT AGREEMENTAuthorized Debit Agreement • May 4th, 2022
Yes, I wish to subscribe to the pre-authorized debit service offered by Wholesale Express for the payment of my transactions.
Please complete the Pre-Authorized Debit (PAD) Plan agreement below.Authorized Debit Agreement • August 31st, 2015
This authority is to remain in effect until Westland Insurance Group Ltd. has received written notification from me/us of its change or termination. This notification must be received at least ten (10) business days before the next debit is scheduled at the address provided below. I/we may obtain a sample cancellation form, or more information on my/our right to cancel a PAD agreement at my/our financial institution or by visiting www.payments.ca.
Pre-Authorized Debit AgreementAuthorized Debit Agreement • January 18th, 2021
Please return this completed form (please fill in ALL fields) via email to donations.canada@marysmeals.org, or mail to the following address:
PRE-AUTHORIZED DEBIT AGREEMENT-Authorized Debit Agreement • January 17th, 2020
BUSINESS PAYOR'S PRE-AUTHORIZED DEBIT AGREEMENT (PAD)Authorized Debit Agreement • August 2nd, 2019
We authorize the Payee indicated to draw a debit in paper, electronic or other form for the purpose of making payment for goods or services related to our commercial activities (a "Business PAD") on our account(s) and at the financial institution indicated on our provided banking instructions (the "Account" and the "Financial Institution") and we authorize the Financial Institution to honour and pay such debits. This Agreement and our authorization are provided for the benefit of the Payee and our Financial Institution and are provided in consideration of our Financial Institution agreeing to process debits against our Account in accordance with the Rules of the Canadian Payments Association. We agree that any direction we may provide to draw a Business PAD, and any Business PAD drawn in accordance with this Agreement, shall be binding on us as if signed by us, and, in the case of paper debits, as if they were cheques signed by us.
PRE-AUTHORIZED DEBIT AGREEMENTAuthorized Debit Agreement • March 6th, 2023
The purpose of this agreement is to arrange payment of your Sun Valley Lunch Bunch user fees by monthly Pre-Authorized debit.
POLICYHOLDER PRE-AUTHORIZED DEBIT (PAD) AGREEMENTAuthorized Debit Agreement • June 7th, 2024
PRE-AUTHORIZED DEBIT AGREEMENT - BUSINESSAuthorized Debit Agreement • February 7th, 2020
I/We, the Payer, authorize White Rock Christian Academy to debit my/our bank account of choice (attached void cheque) on the stated date every month.
PRE – AUTHORIZED DEBIT AGREEMENT 2023/2024Authorized Debit Agreement • September 13th, 2023
Please complete this Pre-Authorized Debit Agreement, making your selection based on the class your child is enrolled in for the 2023/2024 preschool year, and the corresponding preschool fees.
PRE-AUTHORIZED DEBIT AGREEMENTAuthorized Debit Agreement • July 12th, 2016
Pre-Authorized Debit AgreementAuthorized Debit Agreement • March 22nd, 2014
This authority is to remain in effect until Caprata Properties Inc. has received written notification from me/us of its change or termination. This notification must be received at least ten (10) business days before the next debit is scheduled at the address provided below. I/We may obtain a sample cancellation form, or more information on my/ our right to cancel a PAD Agreement at my/our financial institution or by visiting www.cdnpay.ca.
PRE-AUTHORIZED DEBIT AGREEMENTAuthorized Debit Agreement • August 25th, 2020
Void cheque attached Contact information as per attached void cheque. *Notification should be given of any address changes immediately.
PRE-AUTHORIZED DEBIT AGREEMENT (PAD) EXTRA WITHDRAWALAuthorized Debit Agreement • April 6th, 2020
This form must be received by Korecki Real Estate Services Inc., no later than the 20th of the month prior to the month it is to commence. (i.e. to be on the PAD plan for the month of July the form must be received by June 20th). This form can only be used if you are taking advantage of the PAD program for payment of your strata fees.
