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City of Edmonton Community & Recreation FacilitiesContinuous Monthly Membership PreAuthorized Debit Form CURRENT CUSTOMER INFORMATION (Please print clearly) Applicant Last Name:First Name:Initial:Street
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How to fill out pre-authorized debit agreement form

01
To fill out a pre-authorized debit agreement form, follow these steps:
02
- Obtain a copy of the pre-authorized debit agreement form from your bank or financial institution.
03
- Provide the necessary personal information, such as your name, address, and contact details.
04
- Specify the type of account you want to use for the pre-authorized debits.
05
- Provide the bank or financial institution's information, including their name, address, and contact details.
06
- Indicate the frequency and date of the debits. This could be monthly, bi-weekly, etc.
07
- Enter the amount or range of amounts that can be debited from your account.
08
- Review the terms and conditions of the agreement.
09
- Sign and date the form.
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- Submit the completed form to your bank or financial institution.
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- Keep a copy of the agreement for your records.

Who needs pre-authorized debit agreement form?

01
Anyone who wishes to automate recurring payments can benefit from a pre-authorized debit agreement form.
02
This form is commonly used by individuals, businesses, and organizations that want to authorize their bank or financial institution to withdraw funds directly from their account on a regular basis.
03
Some examples of people who may need a pre-authorized debit agreement form include:
04
- Individuals who want to automate bill payments, such as utilities, rent, or mortgage.
05
- Businesses that need to collect recurring payments from customers or clients.
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- Non-profit organizations that rely on regular donations.
07
- Landlords who want to collect rent automatically.
08
- Subscription-based services that require regular subscription fees.
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The pre-authorized debit agreement form is a form that allows a payee to collect payments directly from a payer's bank account.
Both the payee and the payer are required to file the pre-authorized debit agreement form.
To fill out the pre-authorized debit agreement form, you need to provide your bank account information, the amount to be debited, the frequency of the debits, and your signature.
The purpose of the pre-authorized debit agreement form is to authorize a payee to collect payments from a payer's bank account on a recurring basis.
The pre-authorized debit agreement form must include the payer's name, bank account number, payment amount, frequency of payments, and authorization signature.
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