I/we authorize Waterloo North Hydro Inc. (WNH), and the financial institution designated (or any other financial institution I/We may authorize at any time) to begin deductions for payment of all charges arising under my/our WNH account (s). Equal monthly payments for the budgeted amount will be debited to my/our account (s) beginning on the due date of regular billings. WNH will provide written notice of the amount and timing of each regular debit. WNH will obtain my/our authorization for any other one-time or sporadic debits. 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.
WNHI may not assign this authorization, whether directly or indirectly, by operation of law, change of control or
otherwise, without providing at least 10 days prior written notice to me/us.
I/We have certain recourse rights if any debit does not comply with this agreement. For example, I/We have the right to receive reimbursement for any PAD that is not authorized or is not consistent with this PAD agreement. To obtain a form for a Reimbursement Claim, or for more information on my/our recourse rights, I/We may contact my/our financial institution or visit www.cdnpay.ca
(branch: 5 digits) - (institution: 3 digits)
Accepted file types: jpg, gif, png, pdf, Max. file size: 8 MB.
The form must be signed by the signing authority for the cheque
If joint account, both parties must sign
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