APPENDIX A – Pre-Authorized Debit (PAD) Agreement

Fill out this form to authorize the Kelowna Yacht Club and the financial institution designated to begin deductions of monthly regular recurring payments and/or one-time payments as authorized.

Member Information

Primary Member

The Kelowna Yacht Club, and the financial institution designated, upon receipt of this form, and required documents, will begin recurring payments either monthly or annually as authorized

Financial Institiution

For a direct debit of your bank account, the Kelowna Yacht Club will require official bank documentation indicating your account the funds will be pulled from. This can be either a Void Cheque or an Official Bank Document.

Please upload:

either a Void Cheque or an Official Bank Document from your financial institution:
Drag & Drop Files, Choose Files to Upload
Please upload a Void Cheque or an Official Bank Document
Payments

Acknowledgements

Signatures – Acknowledgements

Signatures

By typing out my full name below, I acknowledge that I have read, understand and agree to the terms and conditions stated in this electronic form. I further understand that this electronic form and will have the same legal effect as a written signature.