The School for Social Entrepreneurs



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|Use this form to set up electronic payment from Tides Canada direct to your bank account. Please complete the relevant sections below and |

|return the form along with a void cheque or bank-stamped pre-authorized payment form. Payments will appear as “TIDES CANADA” on your bank |

|statement. |

Request type:

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| |Vendor Information | | | |Banking Information (see Note) |

| |Address: |      | | | |

| |City / Town: |      |Prov: |

| | | | |

| | | |Please send completed form and void cheque or |

| | | |pre-authorized payment to: |

| | | |By email: ap@ |

| | | |By post: 400-163 West Hastings St. |

| | | |Vancouver, BC V6B 1H5 |

| |Authorized Signatory: | | |

| | | | |

| |Name: | | |

| |Title (if applicable): | | |

| |Date: | | |

| | | | |

Note: Banking details can be obtained from the bottom of your void cheque.

In this Agreement,

· "Tides Canada" means Tides Canada Foundation or Tides Canada Initiatives Society.

· "Processing Institution" means the financial institution that holds the Account to be credited/debited by means of Electronic Funds Transfer.

· "Processing Institution Account" means Vendor’s Account at the financial institution.

· "Payables Payments" means amounts receivable from Tides Canada.

a) Vendor acknowledges that Tides Canada will process all reimbursements and payments by electronic funds transfer. The Processing Institution Account that Tides Canada is authorized to deposit or draw upon has been specified by the Vendor on this Tides Canada EFT Authorization Form. A specimen cheque copy, marked “VOID”, or other proof of banking information has been attached to the Tides Canada EFT Authorization Form.

b) Vendor hereby authorizes Tides Canada to deposit or draw on the Processing Institution Account, for the following purposes:

i. Depositing credit balances from Tides Canada Payables payment(s) upon Vendor’s instructions;

ii. Debiting Vendor’s Processing Institution Account if an erroneous remittance was made.

c) Vendor acknowledges that this authorization is provided for the benefit of Tides Canada and the Processing Institution and is provided in consideration of the Processing Institution agreeing to process credits or debits for or against, respectively, Vendor’s Processing Institution Account in accordance with the Rules of the Canadian Payments Association.

d) This authorization is continuing and Tides Canada may rely on this authorization for all financial transactions relating to Payables Payments and/or Vendor’s Processing Institution Account(s), until Vendor notifies Tides Canada of any changes in accordance with section (f) below.

e) Vendor may change or revoke this authorization at any time upon providing ten (10) business days written notice to Tides Canada, using the Tides Canada EFT Authorization Form. Further information on rights to cancel any pre-authorized debits can be obtained from the Processing Institution or by visiting cdnpay.ca.

f) Vendor acknowledges that Tides Canada has the right to terminate authorization, if through no fault of its own, it is unable to debit the Processing Institution Account(s) in the full amount that the Vendor has specified.

g) Vendor acknowledges that provisions and delivery of this authorization to Tides Canada constitutes delivery by Vendor to the Processing Institution.

h) In the event of an erroneous remittance, Vendor acknowledges responsibility for ensuring sufficient funds are available in Payables Payments and/or Processing Institution Account to recover this amount.

i) Vendor undertakes to inform Tides Canada, in writing, of any changes in the Processing Institution Account information provided in this authorization prior to requesting any transactions with respect to the Processing Institution Account.

j) Vendor acknowledges that the Processing Institution is not required to verify that a deposit or debit has been issued in accordance with the particulars of this Authorization including, but not limited to, the amount and frequency of deposits or payments.

k) Vendor acknowledges that the Processing Institution is not required to verify that any purpose of payment for which the debit was issued has been fulfilled by Tides Canada as a condition to honouring a debit issued or caused to be issued by the Vendor on its Processing Institution Account.

l) Revocation of this Authorization does not terminate any contract for goods or services that exists between Vendor and Tides Canada. Authorization applies only to the method of payment and does not otherwise have any bearing on the contract for the goods or services exchanged.

m) Vendor has waived the right to receive pre-notification of the amount of each pre-authorized debit authorized by the Tides Canada EFT Authorization Form and agrees it does not require advance notice of the amount of the pre-authorized debits before the debit is processed.

n) Vendor has certain recourse rights if any debit does not comply with the Tides Canada EFT Authorization Form. For example, the right to receive reimbursement for any debit that is not authorized or is not consistent with this agreement. To obtain more information on recourse rights, Vendor may contact its Processing Institution or visit cdnpay.ca.

o) If the funds in the Processing Institution Account are insufficient to cover any debit authorized by the Tides Canada EFT Authorization Form, the Vendor’s Processing Institution or Tides Canada may assess any associated service fees (e.g. NSF fee) in effect at that time, as charged by either Tides Canada or the Processing Institution. In the case of insufficient funds, the NSF fee and the failed debit may be recovered from Vendor’s Payables Payments.

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