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


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:
Click or drag a file to this area to upload.
Please upload a Void Cheque or an Official Bank Document

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.