Pre-authorized Debit (PAD) AgreementPre-Authorized Debit Agreement • March 18th, 2014
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,...Pre-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.
POLICYHOLDER PRE-AUTHORIZED DEBIT (PAD) AGREEMENTPre-Authorized Debit Agreement • June 7th, 2024
IMPORTANT: The pre-authorized debit agreement does not cover costs relating to the health spending account (HSA), the wellness account, the physical activity account or Cost Plus agreements. You must pay these separately by cheque or online through your financial institution.
UNIVERSITY OF CALGARY SWIM CLUBPre-Authorized Debit Agreement • January 24th, 2024
Account holder name and account numberPre-Authorized Debit Agreement • August 5th, 2009
Last and first name(s) of account holder(s) Telephone No. Address (street, city, province) Postal code The name of the financial institution where the account is located Institution No. Transit No. Account No. (with check digit)
ContractPre-Authorized Debit Agreement • January 6th, 2016
This Authorization is provided for the benefit of the Payee and our Financial Institution and is provided in consideration of our Financial Institution agreeing to process debits against our account in accordance with the Rules of the Canadian Payments Association (the “CPA Rules”).
Pre-authorized Debit (PAD) AgreementPre-Authorized Debit Agreement • March 18th, 2014
ContractPre-Authorized Debit Agreement • November 19th, 2022
Payor’s Pre-Authorized Debit Agreement I/we authorize Ottawa River Power Corporation 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 monthly payments and/or one-time payments from time to time, for payment of all charges arising under my/our Ottawa River Power Corporation account(s). Regular payments for the full amount of services delivered will be debited to my/our specified account on the day agreed upon with Ottawa River Power Corporation. Ottawa River Power Corporation will provide 10 days written notice of the amount of each regular debit. Ottawa River Power Corporation will obtain my/our authorization for any other one-time or sporadic debits. This authority is to remain in effect until Ottawa River Power Corporation has received written notification from me/us of its change or termination. This notification must be received ten (10) business days before the next debi
PRE-AUTHORIZED DEBIT AGREEMENTPre-Authorized 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 (PAD) AGREEMENTPre-Authorized Debit Agreement • December 11th, 2019
THE PRE-AUTHORIZED DEBIT AGREEMENT (PDA)Pre-Authorized Debit Agreement • March 4th, 2013
The Payor named below authorizes Humania Assurance Inc. (Humania Assurance) to make scheduled pre-authorized debits (PDA) on the bank account with the financial institution named below, or any other financial institution that the Payor may later designate, for the purpose of paying the insurance premium in accordance with the premium schedule stipulated in the policy contract, including the initial premium.
Faith Baptist Church PRE-AUTHORIZED DEBIT AGREEMENT 437 Broadway Avenue East PAYOR’S PAD AGREEMENT Regina, SK. S4N 0Z8Pre-Authorized Debit Agreement • January 12th, 2024
Last and first name(s) of account holder(s) Student’s Name Telephone No. Address (street, city, province) Postal code The name of the financial institution where the account is located Institution No. Transit No. Account No. (with check digit)
BISHOP OF VICTORIA ACCOUNTS PAD AGREEMENTPre-Authorized Debit Agreement • September 16th, 2022
in electronic form drawn pursuant to this agreement on my account (b) I certify that all of the personal and account information recorded in this
PRE-AUTHORIZED DEBIT AGREEMENTPAYOR’S PAD AGREEMENTPre-Authorized Debit Agreement • April 7th, 2021
Last and first name(s) of account holder(s) Telephone No. Address (street, city, province) Postal code The name of the financial institution where the account is located Institution No. Transit No. Account No. (with check digit)
Pre-Authorized Debit (PAD) AgreementPre-Authorized Debit Agreement • July 6th, 2020
We will complete your request within 10 business days of receiving your completed and signed form. Once your Pre-Authorized Debit (PAD) is active, your payment will be withdrwan according to the terms indicated below. Check one of the following options :
Pre-Authorized Debit (PAD) AgreementPre-Authorized Debit Agreement • January 9th, 2023
Mortgage/loan number First Payor’s name (as shown on bank statement) Social Insurance Number Date of birth (mmm/dd/yyyy) Postal code Second Payor’s name (as shown on bank statement) Social Insurance Number Date of birth (mmm/dd/yyyy) Postal code Name of bank (Trust Company, etc.) hereafter referred to as “Processing Institution” Account number Address of Processing Institution Payor’s telephone numberres.( ) bus. ( ) Date authorization signed by Payor Date of first payment
KILLARNEY SWIM CLUBPre-Authorized Debit Agreement • August 29th, 2020
L5N 0C4Pre-Authorized Debit Agreement • March 24th, 2022
PRE-AUTHORIZED DEBIT AGREEMENTPre-Authorized Debit Agreement • January 17th, 2020
PRE-AUTHORIZED DEBIT AGREEMENTPre-Authorized Debit Agreement • May 21st, 2024
The purpose of this agreement is to arrange payment of your Sun Valley Lunch Bunch user fees by monthly Pre-Authorized debit.
Pre-Authorized Debit (PAD) AgreementPre-Authorized Debit Agreement • March 15th, 2024
ContractPre-Authorized Debit Agreement • May 16th, 2018
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OFFICE USE ONLYPre-Authorized Debit Agreement • June 25th, 2024
Building Name (if applicable): Unit Number: Address of Unit: (the “Property”) Surname: First Name: Phone #: Surname: First Name: Phone #: Type of Service: Personal OR Business
Account holder name and account numberPre-Authorized Debit Agreement • October 6th, 2016
Last and first name(s) of account holder(s) Telephone No. Address (street, city, province) Postal code The name of the financial institution where the account is located Institution No. Transit No. Account No. (with check digit)
PRE-AUTHORIZED EQUAL PAYMENT PLAN APPLICATION/ PRE- AUTHORIZED DEBITS (PAD) AGREEMENTPre-Authorized Debit Agreement • May 11th, 2017
This authority is to remain in effect until WNHI has received written notification from me/us of its change or termination. This notification must be received at least 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 BUSINESS DEBIT AGREEMENT (STRATA)Pre-Authorized Debit Agreement • February 27th, 2015
I/We have read and agree to the conditions of this agreement. I/We authorize the strata corporation agent Pacific Quorum Properties Inc. and the financial institution designated (void cheque or account information form attached) to begin deductions from the first day of (month/year) / for monthly recurring charges as follows:
UNITED STATES PRE-AUTHORIZED DEBIT (“PAD”) AGREEMENTPre-Authorized Debit Agreement • March 22nd, 2019 • California
Pre-Authorized Debit AgreementPre-Authorized 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 (PAD) AGREEMENTPre-Authorized Debit Agreement • October 13th, 2021
You have indicated that you wish to make a contribution through Pre-authorized Debit. In order to complete this process, the Canadian Payments Association requires that we provide a pre-authorized debit agreement.
PRE-AUTHORIZED DEBIT AGREEMENTPre-Authorized 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.Pre-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.
PRE-AUTHORIZED DEBIT AGREEMENTPAYEE AUTHORIZATIONPre-Authorized Debit Agreement • December 20th, 2022
Last and first name(s) of Account Holder(s) NBASW Member # Email Address Telephone number Address (Street, City, Province) Postal code The name of the financial institution where the account is located Institution number Transit number Account number (include void cheque)
TERMS AND CONDITIONS OF PRE-AUTHORIZED DEBIT (“PAD”) AGREEMENTPre-Authorized Debit Agreement • March 8th, 2021
In this Agreement, all references to “I/we”, “me/us”, and “my/our” means the Account holder or the payor, and all references to “you” and “your” means GWL Realty Advisors Residential Inc. Where the context warrants, references to you and your means or includes the owner of the building managed by GWL Realty Advisors Residential Inc. in which my/our premises are leased.
Pre-Authorized Debit (PAD) Agreement Application (Part 1)Pre-Authorized Debit Agreement • July 17th, 2017
I/we authorize AdvisorNet Communications Inc., 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 payment of the accounts receivable invoices.
PRE-AUTHORIZED DEBIT (“PAD”) AGREEMENTPre-Authorized Debit Agreement • August 29th, 2022
• Changing the existing Account (as defined herein) used to pay the minimum payment amount for your Home Equity Secured Mastercard account; and
