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Submission information
Form:
9. Pre-Authorized Debit (PAD) Plan agreement
Submitted by
Robert Walker
Thu, 04/13/2023 - 11:51
156.34.16.14
Name(s)
Robert Walker
Date
Thu, 04/13/2023
Address*
64 Roy Crescent
City*
Bedford
Province
Nova Scotia
Postal Code*
B4A3T2
Phone (Bus.)
647-609-8104
Phone (Res.)
647-609-8104
Phone (Cell)
647-609-8104
Name and Branch*
TD Canada Trust
FI Account Number*
01806299801
FI Transit Number (branch – 5 digits; FI – 3 digits)*
56803004
Account Type
Chequing
Branch Address*
192 Queen Street
City*
Charlottetown
Province*
Prince Edward island
Postal Code*
C1A4B5
Authorized Signature(s)*
Robert Walker
Thu, 04/13/2023 - 11:51
Email Address*
robpwalker@gmail.com
Child(ren)’s Name(s):
Eilidh Walker
Please upload a copy of a VOIDED cheque on the above named account.
Void Cheque.jpg
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