The EFT Form Template – Canada is offered in multiple formats, including PDF, Word, and Google Docs. These formats are both customizable and print-ready, ensuring they fulfill your requirements effortlessly.
Eft Form Template – Canada Editable – PrintableSample
1. Parties Involved 2. Purpose of the EFT Form 3. Banking Information 4. Payment Amount 5. Frequency of Payments 6. Authorization 7. Duration of Authorization 8. Contact Information 9. Acknowledgment and Consent
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Examples
[Client’s Full Name]
[Client’s Address]
[Client’s Phone Number]
[Client’s Email Address]
[Bank Name]
[Bank Address]
[Branch Transit Number]
[Account Type: Chequing/Savings]
[Account Number]
I hereby authorize [Business Name] to initiate electronic funds transfers (EFT) from my account at the financial institution listed above as specified in this form.
Payments will be made on a [weekly/monthly/quarterly] basis, commencing on [Start Date] and continuing until [End Date] or until this authorization is revoked in writing.
I understand that I can cancel this authorization at any time by providing written notice of [Notice Period] to [Business Name].
[Business Name] agrees to keep my information private and will not disclose it without my consent, except as required by law.
This authorization is governed by the laws of Canada.
[Client’s Signature]
[Client’s Full Name]
[Client’s Full Name]
[Client’s Address]
[Client’s Telephone Number]
[Client’s Email Address]
[Financial Institution Name]
[Bank Address]
[Branch Number]
[Account Type: Chequing/Savings]
[Account Number]
I authorize [Company Name] to withdraw payments electronically from my financial institution account as described herein.
Payments will occur on a [weekly/monthly/quarterly] schedule starting on [Effective Date] until [End Date].
I can cancel this authorization at any time by sending written notice to [Company Name] with a notice period of [Notice Period].
[Company Name] will handle my personal data in compliance with applicable privacy laws and will not share my information without my consent.
This agreement shall be governed by the laws of Canada.
[Client’s Signature]
[Client’s Full Name]
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