PAD Authorization - RBC Royal Bank



|(09/2013)

CORPORATE CREDITOR BILL PAYMENT SERVICE

BILLER AUTHORIZATION FOR BUSINESS PRE-AUTHORIZED DEBITS

FOR SERVICE CHARGES

| |

| |Date:       |

| |(dd/mm/yyyy) |

|Company (“Biller”) Name and Address |

|Biller Name |      |

|Address Line 1 |      |

|Address Line 2 |      |

|City |      |Province |      |Postal Code |      |Phone No. |      |

|Billing Statement Delivery Option | | |

|(select only one) |Fax |Email |

| |Fax No.       |Email Address       |

| |(Fax No. must be completed if fax delivery |(Email address must be completed if email |

| |option is selected) |delivery option is selected) |

|Name and Address of Biller’s Financial Institution (the “Processing Member”) |

|Financial Institution Name:       |

|Address Line 1 |      |

|Address Line 2 |      |

|City |      |Province |      |Phone No. |      |

|Transit |      |Financial Institution No. |      |Account No. |      |

|We have attached a specimen cheque marked “VOID” to this Biller authorization (the “Authorization”). |

|We hereby undertake to inform Royal Bank of Canada (“RBC”), in writing, or by fax, of any change in the information provided in this section at least thirty (30) |

|business days prior to the next due date of the Pre-Authorized Debit, as defined in Canadian Payment Association (“CPA”) Rule H1 (“PAD”). |

| |

|The mailing address for correspondence with RBC: |

| |

|RBC Royal Bank |

|Corporate Creditor Service Enrolment Group |

|180 Wellington Street West, 5th floor |

|Toronto, Ontario, Canada M5J 1J1 |

|Transit: 13006 |

|FAX: (416) 974-5287 |

|We acknowledge that the Authorization is provided for the benefit of RBC and the Processing Member and is provided in consideration of the Processing Member |

|agreeing to process debits against our account referred to above in section 1 (the “Account”) in accordance with the Rules of the Canadian Payments Association. |

| |

|We warrant that all persons whose signatures are required to authorize withdrawals from the Account have signed this Authorization and that all such persons have |

|authority to enter into this Authorization and to bind the Biller. |

| |

|We hereby authorize RBC to issue PADs drawn on the Account, to collect all fees payable pursuant to the terms of the Corporate Creditor Bill Payment Service |

|Agreement agreed to by the Biller. |

| |

|We may revoke this Authorization at any time upon providing written or faxed notice to RBC within 30 days before the next PAD was to be issued. To obtain a sample |

|cancellation form, or for more information on our right to cancel a PAD Agreement, we may contact the Processing Member or visit cdnpay.ca. |

| |

|Cancelling the Authorization does not affect obligations between Biller and RBC under any broader contact for goods or services. |

| |

|We acknowledge and agree that providing and delivering this Authorization to RBC constitutes delivery by us to the Processing Member. |

| |

|As the payment amount is variable we waive any requirement that RBC give pre-notification of any payment amount. The Payor (Biller) and Payee (RBC) may mutually |

|agree to reduce or waive the pre-notification requirement. |

| |

|RBC may issue a PAD monthly. |

| |

|We acknowledge that the Processing Member is not required to verify that a PAD has been issued in accordance with the particulars of this Authorization including, |

|but not limited to, the amount, or that any purpose of payment for which the PAD was issued has been fulfilled by RBC as a condition to honouring a PAD issued or |

|caused to be issued by RBC on the Account. |

| |

|We acknowledge and agree that a PAD may be disputed only if: |

| |(i) |the PAD was not drawn in accordance with this Authorization; |

| |(ii) |this Authorization was revoked in accordance with section 7 above. |

| | We acknowledge and agree that in order to be reimbursed a declaration to the effect that either (i) or (ii) took place, must be completed and presented to |

| |the branch of the Processing Member holding the Account up to and including 10 business days after the date on which the PAD in dispute was posted to the |

| |Account. In the event that such declaration is not provided within the time period described herein the dispute shall be resolved solely between us and RBC |

| |outside of the payments system. |

| |We have certain recourse rights if any debit does not comply with the terms of this Authorization. For example, we have the right to receive reimbursement for |

| |any debit that is not authorized or is not consistent with this Authorization. To obtain more information on our recourse rights, we may contact the Processing|

| |Member or visit cdnpay.ca. |

| |

|Any term not otherwise defined herein and which appears in the “definition” section of CPA Rule H1 shall have the meaning ascribed to it therein. |

|We hereby acknowledge and agree to the terms of this Authorization and consent to the disclosure of any personal information contained herein to the Processing |

|Member to the extent necessary for the proper application of CPA Rule H1. |

| |

|Biller Name: |      |

| | |

|Authorized Signature: ________________________________________ |Date:       |

| |(dd/mm/yyyy) |

|Print Name and Title:       |

| | |

| | |

|Authorized Signature: ________________________________________ |Date:       |

| |(dd/mm/yyyy) |

|Print Name and Title:       |

I / We have the authority to bind the Corporation.

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