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Submission information
Form:
9. Pre-Authorized Debit (PAD) Plan agreement
Submitted by
Jin Bryson
Thu, 04/13/2023 - 08:39
47.55.151.59
Name(s)
Jin Lu
Date
Thu, 04/13/2023
Address*
295 Torrington Dr
City*
Halifax
Province
Nova Scotia
Postal Code*
B3M2V4
Phone (Bus.)
902-222-2529
Phone (Res.)
Phone (Cell)
Name and Branch*
TD Canada Trust
FI Account Number*
6662127
FI Transit Number (branch – 5 digits; FI – 3 digits)*
54233-004
Account Type
Chequing
Branch Address*
278 Lacewood Dr, Halifax, NS
City*
Halifax
Province*
Nova Scotia
Postal Code*
B3M 3N8
Authorized Signature(s)*
Jin Bryson
Thu, 04/13/2023 - 08:39
Email Address*
Jin.bryson@outlook.com
Child(ren)’s Name(s):
Julian Bryson
Please upload a copy of a VOIDED cheque on the above named account.
3FBF7A8F-C054-46B4-97F8-14C3700ACF9C.jpeg
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