Sign up for PAD – Condo by invitation

In order to enable SparcPay to pay your suppliers, you have been invited to complete a Pre-Authorized Debit (PAD) agreement for your organization. The pre-filled fields have the information provided in advance by the person that issued the invitation.

Invited by *

PRE-AUTHORIZED DEBIT (PAD) AGREEMENT ONLINE FORM

Type of Service: Business

Entity Legal Name *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Contact Name *

First

Last

Contact Phone *

Contact Cell Phone (if different than above)

Contact Email *

Authorization *

I/we authorize Sparcblock (2144482 Ontario Limited) and the financial institution designated (or any other financial institution I/We may authorize at any time) to begin deductions as per my/our instructions for monthly regular recurring payments and/or one-time payments from time to time, for payment of all charges arising from subscription services contracts which specify Sparcblock Pre-Authorized Debit (PAD) as the payment method. Regular monthly payments for the full amount of services delivered will be debited to my/our specified account on the 1st day of each month. Sparcblock will obtain my/our authorization for any other one-time or sporadic debits. This authority is to remain in effect until Sparcblock has received written notification from me/us of its change or termination. This notification must be received at least ten (10) business days before the next debit is scheduled at the address provided below. I/We may obtain a sample cancellation form, or more information on my/our right to cancel a PAD Agreement at my/our financial institution or by visiting www.payments.ca. Sparcblock may not assign this authorization, whether directly or indirectly, by operation of law, change of control or otherwise, without providing at least 10 days prior written notice to me/us. I/we have certain recourse rights if any debit does not comply with this agreement. For example, I/we have the right to receive reimbursement for any PAD that is not authorized or is not consistent with this PAD Agreement. To obtain a form for a Reimbursement Claim, or for more information on my/our recourse rights, I/we may contact my/our financial institution or visit www.payments.ca.

Operating Account Number *

Usually 7-12 digits, dashes are optional. In order to validate the number please replace the trailing asterisks with the last two digits of the account number.

Operating Account FI Branch Transit Number *

Branch number (5 digits) then a dash and FI number (3 digits)

Reserve Account Number *

Usually 7-12 digits, dashes are optional. In order to validate the number please replace the trailing asterisks with the last two digits of the account number.

Reserve Account FI Branch Transit Number *

Branch number (5 digits) then a dash and FI number (3 digits)

Signatory on Above Accounts *

First

Last

Signatory Signature *

Sign with mouse or touchscreen

Date *

Name