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Pre-Authorized Payment Form

Your Details

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Financial Institution(FI)

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Terms And Condition

I/we authorize Welland Hydro-Electric System Corp. (“Welland Hydro”), and the financial institution designated (or any other financial institution I/We may authorize at any time) to begin deductions as per my/our instructions for monthly regular recurring payments and/or one-time payments from time to time, for payment of all charges arising under my/our Welland Hydro account(s).  Regular monthly payments for the full amount of services delivered will be debited to my/our specified account monthly.  Welland Hydro will provide 10 days written notice of the amount of each regular debit.  Welland Hydro will obtain my/our authorization for any other one-time or sporadic debits.

 

This authority is to remain in effect until Welland Hydro has received written notification from me/us of its change or termination.  This notification must be received at least ten (10) business days before the next debit is scheduled at the address provided above.  I/We may obtain a sample cancellation form, or more information on my/our right to cancel a PAP Agreement at my/our financial institution or by visiting www.cdnpay.ca.

 

Welland Hydro 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 PAP that is not authorized or is not consistent with this PAP 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.

 

Welland Hydro uses the information we collect on this form only to facilitate pre-authorized payment for services.  We are committed to protect your personal information in compliance with the Municipal Freedom of Information and Protection of Privacy Act (MFIPPA).

 

To access our current privacy policies and learn more about your privacy rights, please visit Your Privacy at Welland Hydro.  If you have further questions about this collection, or the ways in which your personal information may be used by Welland Hydro, please contact the Privacy Officer by telephone at 905-732-1381, ext. 233, or by email at privacy@wellandhydro.com.

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