Sew Love Partnership Pre-Authorized Debit Form

Name

This address will receive a confirmation email

Phone

Address

I want to support Sew Love Fondation Inc. through monthly donations.

Payment Processing Information

Please indicate the amount you would like withdrawn from your account:

Custom amount in CAD to be withdrawn (if applicable):

Payment Processing Date:

Custom Date (if applicable):

Please note: the amount will be withdrawn on this date, or the next business day.

Banking Information

Bank Name & Address:

Account Number:

Institution # (Routing):

Branch # (Transit):

OTHER OPTIONS:
1. Attach a copy of your VOID cheque or PDF of your banking information provided by your institution.

2. If you feel uncomfortable sharing your banking information online, please freel free to call our office 1-306-773-7271 and we will be glad to take your information over the phone.

If you choose either option, please enter NA for Banking Information.

VOID Cheque copy/PDF of Banking Info: (if preferred)

Upload (8MB)

Pre-Authorized Debit Info

I may revoke my authorization at any time, subject to providing written notice of at least 7 days. I will email or call Sew Love Foundation Inc. in the event I wish to cancel my parnership. For more information on my right to cancel a PAD Agreement, I may contact my financial institution or visit: www.cdnpay.ca

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 understand that by completing this form, I am authorizing Sew Love Foundation to withdraw the above specified amount on the above specified date each month:

Yes, I do. No, I do not.

Thank-you very much for your interest in partnering with Sew Love Foundation. We are excited to have you as part of the Sew Love Family of Partners. May you be blessed above and beyond,

Lori Peters
President, Sew Love Foundation INC.

Sew Love Partnership Pre-Authorized Debit Form

Description

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