604-941-2833
Pre-Authorized Direct Debit (PAD) Agreement
This authority is to remain in effect until Astro Guard Alarms has received written notification from me/us of its change or termination.
Date:
Name(s):
Name on account (if different from above):
Type of Service: Alarm Monitoring
Address:
City:
Province:
Postal Code:
Phone Number:
Financial Institution:
Transit No.
Institution No.
Account No.
Please also attach a void cheque OR direct deposit slip from your bank if we do not already have one on file.
Amount:
Frequency: Monthly
Process Date: 1st of each month
Signature:
Cancellation Request Form
Account name:
Street Address:
Province: BC
Please note we do require 30 days’ notice for cancellation as per your contract.
For further information see your contract for terms and conditions.
Today’s Date:
Cancellation Date:
Reason for cancellation:
Comments:
If you have equipment on loan, we will contact you to make arrangements for the return.
