ContractPre-Authorized Debit (Pad) Plan Agreement • December 5th, 2019
Please complete the Pre-Authorized Debit (PAD) Plan Agreement below I/We authorize Tourism Sun Peaks and the financial institution designated (or any other financial institution I/We may authorise at anytime) to begin deductions as per my/our instructions for quarterly recurring payments and/or one-time payments from time to time, for payment of all charges arising under my/our Tourism Sun Peaks account(s). Regular quarterly assessment fee payments in the full amount $ will be debited to my/our specified account on the 15th day or the next business day of the assigned quarterly month. Tourism Sun Peaks will not provide written notice of the amount of each regular debit. This authority is to remain in effect until Tourism Sun Peaks 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
Attach a VOID cheque to the completed form and Fax to (905) 546-2449 or email to taxsupport@hamilton.ca or mail to:Pre-Authorized Debit (Pad) Plan Agreement • June 4th, 2024
Please read and complete the Pre-authorized Debit (PAD) Plan Agreement below.Pre-Authorized Debit (Pad) Plan Agreement • December 15th, 2014
The “Customer” as named below, authorizes The Corporation of the City of Kitchener (“City”), and the financial institution designated (or any other financial institution the Customer may authorize at any time) to begin deductions as per the Customer’s instructions for monthly regular recurring payments from time to time, for payment of all charges arising under the Customer’s City parking account(s). Regular monthly payments for the full amount of parking charges will be debited to the Customer’s specified account, in advance, on the 10th day of each month. The current monthly parking fee is $ including HST at (insert parking facility name). The monthly parking fee is subject to change from time to time with City Council approval.
Please complete the Pre-Authorized Debit (PAD) Plan agreement belowPre-Authorized Debit (Pad) Plan Agreement • January 21st, 2015
I/we authorize Cells for Life Cord Blood Institute 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 and/or annual regular recurring payments and/or one-time payments from time to time, for payment of all charges arising under my Cells for Life account(s).
The Town of Fort Frances 320 Portage Ave.Pre-Authorized Debit (Pad) Plan Agreement • April 30th, 2009
This authority is to remain in effect until the Town 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. I/We understand that if I/we cancel this authorization, it does not mean that my/our contract obligations to the Town are ended.
Please complete ·Pre-Authorized Debit(PAD) Plan Agreement BelowPre-Authorized Debit (Pad) Plan Agreement • August 31st, 2023
This authority is to remain in effect until 111 Alexis Nihon Development LP has received written notification from me/us of its change or termination. This notification must be received at least (10) ten business days before the next debit is scheduled at the address provided below. 1/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.
Please complete the Pre-Authorized Debit (PAD) Plan agreement below I/we authorize Groupes Solution Collect and the financial institution designated (or any other financial institution I/We may authorize at any time) to begin deductions of $ for...Pre-Authorized Debit (Pad) Plan Agreement • October 17th, 2013
DUNDURN RURAL WATER UTILITYPre-Authorized Debit (Pad) Plan Agreement • March 30th, 2017
This authority is to remain in effect until Dundurn Rural Water Utility 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 above. The Dundurn Rural Water Utility may not assign this authorization, whether directly or indirectly, by operation of law, change of control or otherwise, without providing at least ten (10) days prior written notice to me/us.
Pre-Authorized Debit (PAD) Plan AgreementPre-Authorized Debit (Pad) Plan Agreement • September 26th, 2018
ContractPre-Authorized Debit (Pad) Plan Agreement • April 10th, 2019
Please Complete the Pre-Authorized Debit (PAD) Plan agreement below. Client Information - PLEASE PRINT IN BLOCK LETTERS DATE: Name(s): Phone Number: Home Address (Including Postal Code): Banking Information ***PLEASE ATTACH A COPY OF A VOID CHEQUE TO CONFIRM THE ACCOUNT*** Name of Financial Institution: Bank Number (3 Digits): Transit Number (5 Digits): Account Number: Branch Bank Address (Including Postal Code): I/we authorize Hosper Mortgage Administration 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 my/our Hosper Mortgage Administration Inc. 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. Hosper Mortgage Administration Inc. will provide 10
South Edmonton Alliance Church (SEAC) Pre-Authorized Debit (PAD) Plan AgreementPre-Authorized Debit (Pad) Plan Agreement • April 4th, 2020
PRE-AUTHORIZED DEBIT (PAD) PLAN AGREEMENTPre-Authorized Debit (Pad) Plan Agreement • December 1st, 2017
PRE-AUTHORIZED DEBIT (PAD) PLAN AGREEMENTPre-Authorized Debit (Pad) Plan Agreement • June 30th, 2017
Please complete the Pre-Authorized Debit (PAD) Plan agreement below and return toTRIBE MANAGEMENT INC. Please note: Fields marked with an asterisk (*) must be completed New Enrollment Change in Banking InformationPLEASE PRINTName(s) of Registered Shareholder*: Name(s) of Bank Account Holder*: (if different from registered shareholder)Company Name*: Unit No.*: Address*: City/Town: Province: Postal Code: Commencement Date*: The first day of , 20 .NOTE: This form, together with either an acceptable VOID pre-printed cheque or Appendix 1 hereto, both from a Canadian fund account, must be received by TRIBE MANAGEMENT INC. no later than the 15th day of the month prior to the Commencement Date in order to be effective on the Commencement Date. IMPORTANT: The account from which TRIBE MANAGEMENT INC. is authorized to draw upon is indicated below. A specimen pre-printed cheque from a Canadian fund account has been marked "VOID" and attached in this space. The undersigned hereby authorizes
ContractPre-Authorized Debit (Pad) Plan Agreement • July 5th, 2022
Please complete the Pre-Authorized Debit (PAD) Plan agreement below. I/we authorize West parkland Gas Co-op Ltd., 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 West Parkland Gas Co-op Ltd. account(s). Regular monthly payments for the full amount of services delivered will be debited to my/our specified account on the 5th day of each month. West Parkland Gas Co-op Ltd. will provide 10 days written notice of the amount of each regular debit. West Parkland Gas Co-op Ltd. will obtain my/our authorization for any other one-time or sporadic debits.This authority is to remain in effect until West Parkland Gas Co-op Ltd. has received written notification from me/us of its change or termination. This notification must be received at least ten (10) business d
West Nipissing Water & SewerPre-Authorized Debit (Pad) Plan Agreement • May 3rd, 2021
Please complete the Pre-Authorized Debit (PAD) Plan agreement below. I/we authorize "West Nipissing Water & Sewer" 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 "regular quarterly" payments of all charges arising under my/our "West Nipissing Water & Sewer" account(s). Regular quarterly payments for the full amount of services delivered will be debited to my/our specified account on the due date indicated on my/our invoice(s). "West Nipissing Water & Sewer" will provide 10 days written notice of the amount of debit. "West Nipissing Water & Sewer" will obtain my/our authorization for any other debits.This authority is to remain in effect until "West Nipissing Water & Sewer" has received written notification from me/us of its change or termination, or by signing the cancellation request at the bottom of this agreement. The notification must be received at least ten (10) busin
PRE-AUTHORIZED DEBIT (PAD) PLAN AGREEMENTPre-Authorized Debit (Pad) Plan Agreement • April 24th, 2020
PRE-AUTHORIZED DEBIT (“PAD”) PLAN AGREEMENTPre-Authorized Debit (Pad) Plan Agreement • April 7th, 2022
Please complete the Pre-Authorized Debit (PAD) Plan agreement below (please include a VOID cheque).Pre-Authorized Debit (Pad) Plan Agreement • August 11th, 2015
This authority is to remain in effect until London Aquatic Club 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.
Willowglen School Please complete the Pre-Authorized Debit (PAD) Plan agreement below I/we authorize Willowglen School and the financial institution designated (or any other financial institution I/we may authorize at any time) to begin deductions as...Pre-Authorized Debit (Pad) Plan Agreement • August 10th, 2020
Pre-Authorized Debit (PAD) Plan agreement belowPre-Authorized Debit (Pad) Plan Agreement • November 13th, 2020
I/we authorize City of Brantford, and the financial institution designated (or any other financial institution I/We may authorize at any time) to debit my account as indicated below on the of each month, the amount owing as indicated on my City of Brantford Utility bill. City of Brantford will provide at least 10 days notice of any change through the utility bill. This authorization is valid for all regular and final bills. The City of Brantford will obtain my/our authorization for any other one- time or sporadic debits.
PRE-AUTHORIZED DEBIT (PAD) PLAN AGREEMENTPre-Authorized Debit (Pad) Plan Agreement • May 5th, 2020
I/We authorize P38 Energy 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 my/our P38 Energy Inc. account(s). Regular monthly payments for
Please complete Pre-Authorized Debit (PAD) Plan Agreement BelowPre-Authorized Debit (Pad) Plan Agreement • October 21st, 2014
This authority is to remain in effect until HOLY TRINITY ARMENIAN CHURCH has received written notification from me/us of its change or termination. This notification must be received at least (10) ten 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) PLAN AGREEMENTPre-Authorized Debit (Pad) Plan Agreement • June 30th, 2017
Please complete the Pre-Authorized Debit (PAD) Plan agreement below and return toTRIBE MANAGEMENT INC. Please note: Fields marked with an asterisk (*) must be completed New Enrollment Change in Banking InformationPLEASE PRINTName(s) of Tenant(s)*: Name(s) of Bank Account Holder*: (if different from Tenant)Unit No.*: Address*: City/Town: Province: Postal Code: Commencement Date*: The first day of , 20 .NOTE: This form, together with either an acceptable VOID pre-printed cheque or Appendix 1 hereto, both from a Canadian fund account, must be received by TRIBE MANAGEMENT INC. no later than the 15th day of the month prior to the Commencement Date in order to be effective on the Commencement Date. IMPORTANT: The account from which TRIBE MANAGEMENT INC. is authorized to draw upon is indicated below. A specimen pre-printed cheque from a Canadian fund account has been marked "VOID" and attached in this space. The undersigned hereby authorizes TRIBE MANAGEMENT INC., on behalf of , (the "
Please complete the Pre-Authorized Debit (PAD) Plan agreement below.Pre-Authorized Debit (Pad) Plan Agreement • December 20th, 2019
I/we authorize Inspire Property Management Ltd. 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 strata corporation or homeowner’s association account(s). Regular monthly payments for the full amount of my/our STRATA FEES will be debited to my/our specified account on the on the first day of each month. SPECIAL LEVIES will be debited to my/our specified account on the date specified in the resolution approving the special levy. Inspire Property Management Ltd. will obtain my/our authorization for any other one-time or sporadic debits (such as fines, move-fees, user fees, etc.).
Pre-Authorized Debit (PAD) Plan agreement belowPre-Authorized Debit (Pad) Plan Agreement • September 14th, 2022
This authority is to remain in effect until the City of Brantford has received 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 contacting the Customer Services Dept.
ContractPre-Authorized Debit (Pad) Plan Agreement • March 29th, 2010
MUNICIPAL DISTRICT OF BONNYVILLE NO. 87Bag 1010, Bonnyville, AB T9N 2J7Phone: 780.826.3171 Fax: 780.826-4524 Office Use Onlywww.md.bonnyville.ab.caPRE-AUTHORIZED DEBIT (PAD) PLAN AGREEMENT – Finance Services UTILITY ACCOUNT I/We authorize the Municipal District of Bonnyville No. 87 (M.D.), and the financial institution designated (or any other financial institution I/We 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 M.D. account(s). Regular monthly payments for the full amount of services delivered will be debited to my/our specified account on the last business day of the month in which the invoice is issued. TheM.D. will provide 15 days written notice of the amount of each regular debit. The M.D. will obtain my/our authorization for any other one-time or sporadic debits.This authorization is to remain in effect until the M.D. has re
Pre-Authorized Debit (PAD) Plan agreementPre-Authorized Debit (Pad) Plan Agreement • December 16th, 2021
Please complete the Pre-Authorized Debit (PAD) Plan agreement belowPre-Authorized Debit (Pad) Plan Agreement • March 5th, 2018
This authority is to remain in effect until 292 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
Fort Frances Power Corp 320B Portage Ave.Pre-Authorized Debit (Pad) Plan Agreement • November 4th, 2019
This authority is to remain in effect until the FFPC 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. I/We understand that if I/we cancel this authorization, it does not mean that my/our contract obligations to the FFPC are ended.
ContractPre-Authorized Debit (Pad) Plan Agreement • July 11th, 2024
MUNICIPAL DISTRICT OF BONNYVILLE NO. 87Bag 1010, Bonnyville, AB T9N 2J7Phone: 780.826.3171 Fax: 780.826-4524 Office Use Only www.md.bonnyville.ab.ca PRE-AUTHORIZED DEBIT (PAD) PLAN AGREEMENT − Finance Services UTILITY ACCOUNT I/We authorize the Municipal District of Bonnyville No. 87 (M.D.), and the financial institution designated (or any other financial institution I/We 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 M.D. account(s). Regular monthly payments for the full amount of services delivered will be debited to my/our specified account on the last business day of the month in which the invoice is issued. TheM.D. will provide 15 days written notice of the amount of each regular debit. The M.D. will obtain my/our authorization for any other one-time or sporadic debits. Any payment returned NSF may result in termination of the pl
ContractPre-Authorized Debit (Pad) Plan Agreement • April 10th, 2019
Please Complete the Pre-Authorized Debit (PAD) Plan agreement below. Client Information - PLEASE PRINT IN BLOCK LETTERS DATE: Name(s): Phone Number: Home Address (Including Postal Code): Banking Information ***PLEASE ATTACH A COPY OF A VOID CHEQUE TO CONFIRM THE ACCOUNT*** Name of Financial Institution: Bank Number (3 Digits): Transit Number (5 Digits): Account Number: Branch Bank Address (Including Postal Code): I/we authorize Hosper Mortgage Administration 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 my/our Hosper Mortgage Administration Inc. 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. Hosper Mortgage Administration Inc. will provide 10
PRE-AUTHORIZED DEBIT PLAN AGREEMENTPre-Authorized Debit (Pad) Plan Agreement • March 27th, 2023
DUNDURN RURAL WATER UTILITYPre-Authorized Debit (Pad) Plan Agreement • October 19th, 2018
I/We authorize Dundurn Rural Water Utility and the Royal Bank of Canada (or any other financial institution I/We may authorize at any time) to begin deductions as per my/our instructions for monthly/quarterly regular recurring payments and/or one-time payments from time to time, for payment of all charges arising under my/our water billing account with the Dundurn Rural Water Utility.
Please complete ·Pre-Authorized Debit (PAD) Plan Agreement BelowPre-Authorized Debit (Pad) Plan Agreement • April 12th, 2021
This authority is to remain in effect until T H E B O A R D O F E D U C A T I O N S C H O O L D I S T R I C T 6 1 ( G R E A T E R V I C T O R I A ) has received written notification from me/us of its change or termination. This notification must be received at least (10) ten 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) Plan Agreement (please complete and sign below):Pre-Authorized Debit (Pad) Plan Agreement • January 28th, 2021
This authority is to remain in effect until Pacific Northern Gas 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.
