Register for PAD

First Name *

Last Name *

Email Address

Phone

Street Address

City

Province

Postal Code

Country

Bank Name *

Transit (Branch) Number *5 digit number0 / 5

Bank Institution Number *3 digit number0 / 3

Account Number *7-12 digit number0 / 12

To support Artisan Church through monthly donations, I/We authorize Artisan Church to withdraw funds ($ CAD) from my/our account on the following day each month:

Day of the month to withdraw funds from my/our account: *15th day of each monthLast working day of each month

Amount to withdraw on the 15th day of each month

CAD

Amount to withdraw on the last working day of each month

CAD

This donation is made on behalf of: *IndividualBusiness

First Name *

Last Name *

Business Name

I may revoke my authorization at any time, subject to providing notice of 30 days. To obtain a sample cancellation form, or for more information on my right to cancel a PAD agreement, I may contact the financial institution of https://www.cdnpay.ca

I have certain recourse rights if any debit does not comply with this agreement. I have the right to receive reimbursement for any debt that is not authorized or is not consistent with this PAD agreement.

I authorize this pre-authorized debit with my nameI authorize this pre-authorized debit with my signature

Name

Signature

Date *

To complete your pre-authorized debit setup, use the "Choose File" button below to upload an image of a void cheque from your financial institution, or follow these steps:

Prepare Your Cheque: Write VOID across the front of a blank cheque in large letters. Ensure the cheque details including transit (branch) number, institution number, account number, etc. are clearly visible.
Take a Picture: Using your smartphone or a digital camera, take a clear, well-lit photograph of the entire cheque. Make sure all the details on the cheque are readable in the photo.
Transfer to Desktop: Save the picture of your VOID cheque to your computer. This can typically be done by emailing the picture to yourself from your phone or using a USB cable or cloud service to transfer the file.
Upload the File: Click the 'Choose File' button below. A file dialogue will appear. Navigate to the location on your desktop where you saved the image of your VOID cheque, select the file, and click 'Open' to upload it.

Please ensure the image is in a common format (e.g., JPG, PNG) and the file size does not exceed 10MB.

If you have any issues or need assistance, please contact our support team at admin@artisanchurch.ca.

No file chosen

Please Note

You may revoke my authorization at any time, subject to providing notice of 30 days. To obtain a sample cancellation form, or for more information on your right to cancel a PAD agreement, contact the financial institution of https://www.payments.ca

If you have any issues or need assistance, please contact our support team at admin@artisanchurch.ca

Register for PAD

Please Note

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