Pre-Authorized Debit Payment Agreement

Comox Valley Unitarian Fellowship is supported by the contributions of its members and friends. If you would like to make a financial pledge to the Fellowship, you can arrange for pre-authorized debit payment. Here’s the form to fill in and submit to make request a new Pre-Authorized monthly debit from your bank or to request changes.

URL

This field is for validation purposes and should be left unchanged.

Name of Donor(Required)

First Last

Email(Required)

Phone

Type of Debit Form

This is a NEW Preauthorized Debit

This is a REVISED Preauthorized Debit

Cancel

Please debit my bank account by the following amount Monthly;

Date Starting on:

Please upload an image of a VOID cheque or provide details below. Please disregard if we already have your bank account info.

Max. file size: 64 MB.

Transit #

Institution #

Account #

Do NOT submit this form to your bank. The Submit button will send this form to our CVUF Treasurer. If you prefer, you can print and mail it to; The Comox Valley Unitarian Fellowship, 250 Beach Street, Comox, B.C. V9M1P9 along with VOID cheque.

To cancel or modify this agreement, please contact our Treasurer at treasurer@cvuf.ca

Donors have certain rights if any debit does not comply with this agreement. For example, the donor has 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 recourse rights, please contact your financial institution or visit www.cdnpay.ca

Thank-you for your generosity!

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Comox Valley Unitarian Fellowship

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Comox Valley Unitarians

250 Beach Drive, Comox, B.C. V9M 1P9

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