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I (we), as the account holder(s), authorize Virgin Mobile Canada and any other company affiliated with Virgin Mobile Canada that is providing me (us) with services and/or products (collectively referred to as the “service provider”) and my (our) financial institution, to debit, in accordance with the Rules of the Canadian Payments Association, my (our) account at the branch I (we) specified, for the purpose of adding funds to my (our) account with the service provider. The information I (we) specified may be sent to the service provider's bank and/or to my (our) financial institution to implement this authorization.
My (our) account will be debited on my (our) pre-established monthly billing date for the amount selected as per the Automatic Payment method I (we) specified (or such payments may be pursuant to my (our) express request). The amount of the debit may vary depending on my (our) usage, the balance of my (our) account and the payment plan selected. In addition, the amount of the debit may be affected by the following items: (1) any excess usage charges from the previous billing month or other similar charges; and (2) credit or debit adjustments. Administrative charges may apply in the service provider's discretion for returned or declined payments.
This authorization is to remain in effect until the service provider has received written notification from me (us) of its change or termination. This written notification must be received at least 30 days before the next debit is scheduled, at the service provider's address. I (we) may obtain a sample cancellation form, or more information on my (our) right to cancel a pre-authorized payment authorization at my (our) financial institution or by visiting www.cdnpay.ca.
I (we) have certain recourse rights if any debit does not comply with this authorization. For example, I (we) have the right to receive reimbursement for any debit that is not authorized or is not consistent with this pre-authorized payment authorization. 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.cdnpay.ca.
I (we) represent and warrant that: (1) the banking and account information provided is complete and accurate and I (we) will promptly notify the service provider of any change in such information; and (2) all persons required to authorize withdrawals from the account specified have authorized the debits to be drawn from the specified account pursuant to this authorization.
I (we) have waived my (our) right to receive pre-notification of the amount of the Pre-Authorized Debit (PAD) and agree that I (we) do not require advance notice of the amount of the PAD before the debit is processed. Please allow at least 48 hours for application of any payments to your account with the service provider.
I (we) will notify the service provider of any changes in my (our) account information or termination of this authorization at least (5) days prior to the next date of the pre-authorized payment. I (we) understand that delivery of this authorization to the service provider constitutes delivery by me (us) to the financial institution that I provided at time of PAD enrolment. The service provider reserves the right to terminate my enrolment into any pre-authorized debit arrangement at any time.
I have read and understood the terms of this authorization and acknowledge receipt of a copy thereof.