9. Pre-Authorized Debit (PAD) Plan agreement | Creative Kids Education Centre

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This page shows analysis of submitted data, such as the number of submissions per component value, calculations, and averages. Additional components may be added under the "Add analysis components" fieldset.

Province

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Markup_1 Markup_1
Name(s) Name(s)
Date Date
Address* Address*
City* City*
Province Province
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Postal Code* Postal Code*
Phone (Bus.) Phone (Bus.)
Phone (Res.) Phone (Res.)
Phone (Cell) Phone (Cell)
Financial Institution Financial Institution
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Name and Branch* Name and Branch*
FI Account Number* FI Account Number*
FI Transit Number (branch – 5 digits; FI – 3 digits)* FI Transit Number (branch – 5 digits; FI – 3 digits)*
Account Type Account Type
Branch Address* Branch Address*
City* City*
Province* Province*
Postal Code* Postal Code*
Markup_2 Markup_2
Authorized Signature(s)* Authorized Signature(s)*
Email Address* Email Address*
Child(ren)’s Name(s): Child(ren)’s Name(s):
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Please upload a copy of a VOIDED cheque on the above named account. Please upload a copy of a VOIDED cheque on the above named account.

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Province

Account Type

Province*

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