Pre-Authorized Debit (PAD) Application 預授付款申請

Please fill out this form and click submit.
請填寫此表,然後點擊“提交”。
 
 
 
Please see the church office if you do not currently have an offering number
如果目前沒有奉獻號碼,請向教會辦公室申請
 
Please select one option.
 
NYCBC will begin debiting on the 5th day of each month following the Effective date 教會將在生效日期後的每月五號開始取付
 
Allocation of the Total Monthly Amount above 每月總預授付款金額分配:

 
 
 
Authorization Agreement 授權協議: I/We hereby authorize my/our financial institution specified by the void cheque to debit the Total Monthly Pre-Authorized Debit Amount specified above from my/our account each month and provide the payment to North York (Chinese) Baptist Church (NYCBC). The monthly debit is scheduled on the 5th of each month. If the 5th day of the month falls on a weekend or holiday, the debit will occur on the first business day following the 5th day of the month.  本人()現授權本人()指定的金融機構每月從本人()的賬戶內取付予北約華人浸信會。本人()明白每月的取付安排是在每月的第5天。如該月的第5天是週末或假日,則將安排在這天之後的下一個工作天取付。
Option to Cancel or Change this Authorization 取消或更改此授權的選擇: I/We may cancel this authorization, by providing written notice to the office or apply "Pre-authorized Debit Amendment/Cancellation" form online. I/We will provide 14 days notice of the details of any changes.  本人(等)可以書面或透過網上"更改/取消預授付款"提前十四天通知教會辦公室取更改/取消授權。
Authorization for the NYCBC’s Bank (Bank of Nova Scotia) 予教會銀行(豐業銀行)的授權: Receipt of this authorization by NYCBC constitutes delivery by me/us to the financial institution specified in the void cheque. I/We affirm that all persons whose signatures are required to authorize withdrawals from the specified account 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.  教會收到此授權即表示向本人(等)指定的金融機構取付。本人(等)確認所有的必須簽署人都已簽署此授權。本人(等)同意可向豐業銀行披露此授權內必須的資料,以完成預授付款交易。
Non-Sufficient Funds (NSF) Fees Charged to NYCBC 資金不足(NSF)費用: I/We understand that in the occurrence of the return of a PAD for reason of “Non-Sufficient Funds” or “Funds Not Clearedthe Bank of Nova Scotia will charge NYCBC $100.  本人()明白,因資金不足資金未結清而導致預授付款交易被取消,教會將被收取$100

Non-Sufficient Funds or Overdraft Fees Charged to me/us 本人(等)戶口資金不足或透支的費用: I/We accept all fees for any non-sufficient fund or overdraft that my/our financial institution may charge me/us as a result of any such debit(s). 本人(等)願承擔如因該等付款而令本人(等)的金融機構戶口出現資金不足或透支的費用。


Transaction Fees 交易費用: : I/We understand that The Bank of Nova Scotia will charge NYCBC $1 for each PAD transaction.  本人(等)明白每筆預授付款交易教會將被收取$1,教會會承擔此費用。

I/We also recognize and agree to the following 本人(等)也理解並同意以下內容:

I/We 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   如果任何付款不符合本協議,本人()有一定的追索權。例如,本人()有權獲得未經授權或與本預授付款協議不一致的任何付款的賠償。要獲得有關追索權的更多資訊,可以聯絡所屬金融機構或瀏覧www.cdnpay.ca

● I/We waive my right to receive pre-notification of the amount of pre-authorized debit (PAD) and agree that I /We do not require advance notice of the amount of PAD before the debit is processed.  本人()取消接收預授付款金額預先通知的權利,並同意在處理轉賬之前不需要預先通知本人() 預授付款金額
Note 注意:

    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).  從本表格中收集的個人信息的使用,保留和披露是根據隱私法規進行的,包括但不限於個人信息保護和電子文檔法”(2000c.5)

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請填寫此表,然後點擊“提交”。