Pre-Authorized Debit (Pad) Agreement Sample Contracts

Pre-authorized Debit (PAD) Agreement
Pre-Authorized Debit (Pad) Agreement • March 18th, 2014
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Pre-authorized Debit (PAD) Agreement
Pre-Authorized Debit (Pad) Agreement • March 18th, 2014
PRE-AUTHORIZED DEBIT (PAD) AGREEMENT PERSONAL - TERMS and CONDITIONS:
Pre-Authorized Debit (Pad) Agreement • August 11th, 2023
Payor’s Pre Authorized Debit (PAD) Agreement 2022
Pre-Authorized Debit (Pad) Agreement • December 14th, 2020
PRE-AUTHORIZED DEBIT (PAD) AGREEMENT - STRATA
Pre-Authorized Debit (Pad) Agreement • June 22nd, 2013
Return completed PAD Agreement by email, fax or mail to:
Pre-Authorized Debit (Pad) Agreement • July 23rd, 2020
PRE-AUTHORIZED DEBIT (PAD) AGREEMENT - RENTAL
Pre-Authorized Debit (Pad) Agreement • May 7th, 2011
● Five (5) business days notice is required to process all requests.
Pre-Authorized Debit (Pad) Agreement • July 4th, 2024

PAYEE INFORMATION – account to be credited NameAddress Phone CROWSNEST LAKE BIBLE CAMP BOX 250 City1-403-563-5120 Email COLEMANinfo@crowcamp.ca Province AB Postal Code T0K 0M0

PRE-AUTHORIZED DEBIT (PAD) AGREEMENT
Pre-Authorized Debit (Pad) Agreement • September 29th, 2015
Pre-Authorized Debit (PAD) Agreement
Pre-Authorized Debit (Pad) Agreement • August 25th, 2020

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) AGREEMENT CHANGE OF INFORMATION
Pre-Authorized Debit (Pad) Agreement • May 2nd, 2017
I/We authorize East Gwillimbury Children’s Centre 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 regular recurring payments and/or...
Pre-Authorized Debit (Pad) Agreement • January 4th, 2024

This authority is to remain in effect until East Gwillimbury Children’s Centre 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. 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 (PAD) UTILITY ACCOUNT APPLICATION FORM
Pre-Authorized Debit (Pad) Agreement • December 9th, 2016

I/We acknowledge that this AuthorizaNon is provided for the benefit of the “Payee” and “Processing InsNtuNon” and is provided in consideraNon of Processing InsNtuNon agreeing to process debits (“PADs”) against the Account with Processing insNtuNon in accordance with the Rules of the Canadian Payments AssociaNon (the “CPA Rules”).

PRE-AUTHORIZED DEBIT (PAD) AGREEMENT -STRATA SECTION FEE
Pre-Authorized Debit (Pad) Agreement • May 23rd, 2014
PRE-AUTHORIZED DEBIT (PAD) AGREEMENT - STRATA
Pre-Authorized Debit (Pad) Agreement • June 22nd, 2013
FLEXSAVE PRE-AUTHORIZED DEBIT (PAD) AGREEMENT PAYOR’S AUTHORIZATION
Pre-Authorized Debit (Pad) Agreement • December 15th, 2023

PAYMENT DETAILS Account Holder Name(s) (the “Payor”)(last name or business name, first name) Name of financial institution(the “Processing Institution”) Institution No. Transit No. Account No. (Branch address) Important: Attach a void business cheque to prevent any transcription errors.Void Cheque: Attached On Record Frequency: Monthly One-Time Set Up Fee *If selected, this Agreement will only permit a single PAD. Amount of Payment (CDN$) Payment Type (choose one) Personal PAD Business PAD AUTHORIZATION (If only 1 signature is required for the Account, then only 1 Payor need sign. If 2 or more signatures are required, then both or all Payors must sign.) I/We acknowledge that this agreement is provided for the benefit of HUB Financial Inc. and “Processing Institution” and is provided in consideration of the Processing Institution agreeing to process debits (“PADs”) against the Account with the Processing Institution in accordance with the Rules of the Canadian Payments Association (the

Payor’s Pre-Authorized Debit (PAD) Agreement
Pre-Authorized Debit (Pad) Agreement • August 1st, 2014
PRE-AUTHORIZED DEBIT (PAD) AGREEMENT - RENTAL
Pre-Authorized Debit (Pad) Agreement • June 22nd, 2013
PERSONAL Pre-Authorized Debit (PAD) Agreement
Pre-Authorized Debit (Pad) Agreement • May 23rd, 2023

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").

SIOUX LOOKOUT HYDRO INC.
Pre-Authorized Debit (Pad) Agreement • November 28th, 2023

Please complete the Pre-Authorized Debit (PAD) Plan agreement below. I/we authorize Sioux Lookout Hydro 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 monthly regular recurring payments and/or one-time payments from time to time, for payment of all charges arising under by/our Sioux Lookout Hydro Inc. account(s). Regular monthly payments for the full amount of services delivered will be debited to my/our specified account on the due date each month. Sioux Lookout Hydro Inc. will provide at least 10 days written notice of the amount of each regular debit. Sioux Lookout Hydro Inc. will obtain my/our authorization for any other one-time or sporadic debits. This authority is to remain in effect until Sioux Lookout 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

Return completed PAD Agreement by email, fax or mail to:
Pre-Authorized Debit (Pad) Agreement • July 23rd, 2020
Payment Option A Pre-Authorized Debit (PAD) Agreement
Pre-Authorized Debit (Pad) Agreement • February 7th, 2024
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Self-Payment Electronic Funds Transfer (EFT) Pre-Authorized Debit (PAD) Agreement
Pre-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

Pre-Authorized Debit (PAD) Agreement
Pre-Authorized Debit (Pad) Agreement • April 19th, 2010
Pre-Authorized Debit (PAD) Agreement
Pre-Authorized Debit (Pad) Agreement • February 9th, 2018
Contract
Pre-Authorized Debit (Pad) Agreement • November 11th, 2011
Contract
Pre-Authorized Debit (Pad) Agreement • September 1st, 2021
PRE-AUTHORIZED DEBIT (PAD) AGREEMENT - STRATA STORAGE LOCKER
Pre-Authorized Debit (Pad) Agreement • May 23rd, 2014
Payor’s PAD Agreement – Mandatory and Supplementary Elements
Pre-Authorized Debit (Pad) Agreement • June 19th, 2008
Please complete the Pre-Authorized Debit (PAD) Plan agreement below.
Pre-Authorized Debit (Pad) Agreement • February 12th, 2013

This authority is to remain in effect until YMK Real Estate & Management 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 (PAD) Agreement – CANCELLATION NOTICE
Pre-Authorized Debit (Pad) Agreement • October 1st, 2014

This form may be used to cancel your PAD agreement. Per your PAD agreement, the completed form must be received by the General Manager of Sussex Golf & Curling Club 14 days in advance of your payment date to allow for adequate processing time.

B a p t i s t C h u r c h
Pre-Authorized Debit (Pad) Agreement • January 2nd, 2022
Pre-Authorized Debit (PAD) Agreement
Pre-Authorized Debit (Pad) Agreement • June 15th, 2021

I/we authorize Delta Hockey Academy, 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 regular recurring payments and/or one-time payments from time to time, for payment of all charges arising under my/our Delta Hockey Academy account(s). 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. This amount is determined by the team tuition for the given season registered for. Delta Hockey Academy will obtain my/our authorization for any other one-time or sporadic debits.

Payor’s Pre-Authorized Debit (PAD) Agreement
Pre-Authorized Debit (Pad) Agreement • November 25th, 2015
Pre-­‐authorized Debit (PAD) Agreement
Pre-Authorized Debit (Pad) Agreement • June 10th, 2022
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