NYCBC will begin debiting on the next cycle following the effective date
Amount of Pre-Authorized Debit Allocation
Upon completion this authorization form, please come to the Church Office with a void cheque (if not upload) and provide your signature(s) to complete the process
Bank Account Signature(s): ___________________________________________________
Treasury Team Approval Signature: ___________________________________________________
Authorization Agreement: I/We hereby authorize the bank or financial institution named below to debit my/our Canadian dollar account each month and provide the payments to North York Chinese Baptist Church (NYCBC). The monthly debit(s) to my/our account is scheduled for the 5th (and 20th day if applicable) of each month as determined below. If the 5th or the 20th day of the month falls on a weekend or holiday, the debit will occur on the first business day following the 5th or the 20th day of the month.
Option to Cancel or Change this Authorization at Any Time: I/We may cancel this authorization at any time, by providing written notice to NYCBC’s church office. I/We will provide 14 days of written notice to NYCBC of the details of any changes in the pre-authorized bank account below (in the event of a change in bank accounts, etc.).
Authorization for the NYCBC’s Bank (Bank of Nova Scotia): Receipt of this authorization by NYCBC constitutes delivery by me/us to the bank or financial institution named below. I/We affirm that all persons whose signatures are required to authorize withdrawals from the account below have signed this authorization. I/We agree that the information contained in this authorization may be disclosed to the Bank of Nova Scotia as required to complete any pre-authorized debit transaction.
Non-Sufficient Funds (NSF) Fees: I/We understand that in the occurrence of the return of a PAD for reason of “Non-Sufficient Funds” or “Funds Not Cleared” the Church will be charged $100. NYCBC may re-present the PAD electronically on a one-time only basis for the same amount as the original debit and such item may only be represented within 30 days. The representment will not contain interest, NSF charges or any other charges in addition to the original PAD amount.
Transaction Fees: I/We understand that there will be a $1 cost associated with each PAD transaction (charged directly to NYCBC) and that NYCBC is responsible for paying such fees.
I also recognize and agree to the following:
● I have certain recourse rights 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 my recourse rights, I may contact my financial institution or visit
www.cdnpay.ca.
● I waive my right to receive pre-notification of the amount of pre-authorized debit (PAD) and agree that I do not require advance notice of the amount of PAD before the debit is processed.
Note:
● Approval by the treasury team is required to complete the authorization process
● The use, retention and disclosure of personal information collected from this form is done in compliance with privacy legislation including, but not limited to, the Personal Information Protection and Electronic Documents Act (2000, c.5).
