{{Canada.Name}} has been contracted by {{CompanyName}}. You, the Payor, authorize {{Canada.Name}} to debit the bank account identified above for {{TotalPaymentAmount}} on {{CurrentDate}} or the next business day. {{Canada.Name}} may appear in the Payor’s bank statement. You, the Payor, confirm that you have authority under the terms of the account agreement to authorize this debit.

This authority is to remain in effect until the one-time payment is complete, at which time the agreement will automatically terminate.

This agreement may be cancelled provided notice is received 5 days before the One-Time Payment Date. If any of the above details are incorrect, please contact us immediately at {{USA.Phone}} or {{HelpEmail}}. If the details are correct, no further action is required. The One-Time Pre-Authorized Debit (PAD) will be processed on the One-Time Payment Date indicated above.

You, the Payor, have certain recourse rights if any debit does not comply with this agreement. For example, you 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 your recourse rights, contact your financial institution or visit www.payments.ca.

{{Canada.Name}}

{{USA.Address1}}

{{USA.Address2}}

{{USA.City}}, {{USA.Region}} {{USA.Postal}}

{{USA.Phone}}

{{HelpEmail}}