/ (09/2013)CORPORATE CREDITOR BILL PAYMENT SERVICE
BILLER AUTHORIZATION FOR BUSINESS PRE-AUTHORIZED DEBITS
FOR SERVICE CHARGES
Date:
(dd/mm/yyyy)

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  1. Company (“Biller”) Name and Address

Biller Name
Address Line 1
Address Line 2
City / Province / Postal Code / Phone No.
Billing Statement Delivery Option
(select only one) / Fax / Email
Fax No.
(Fax No. must be completed if fax delivery option is selected) / Email Address
(Email address must be completed if email
delivery option is selected)
  1. Name and Address of Biller’s Financial Institution (the “Processing Member”)

Financial Institution Name:
Address Line 1
Address Line 2
City / Province / Phone No.
Transit / Financial Institution No. / Account No.
We have attached a specimen cheque marked “VOID” to this Biller authorization (the “Authorization”).
We hereby undertake to inform Royal Bank of Canada (“RBC”), in writing, or by fax, of any change in the information provided in this section at least thirty (30) business days prior to the next due date of the Pre-Authorized Debit, as defined in Canadian Payment Association (“CPA”) Rule H1 (“PAD”).
  1. The mailing address for correspondence with RBC:
RBC Royal Bank
Corporate Creditor Service Enrolment Group
180 Wellington Street West, 5th floor
Toronto, Ontario, CanadaM5J 1J1
Transit: 13006
FAX: (416) 974-5287
  1. We acknowledge that the Authorization is provided for the benefit of RBC and the Processing Member and is provided in consideration of the Processing Member agreeing to process debits against our account referred to above in section 1 (the “Account”) in accordance with the Rules of the Canadian Payments Association.

  1. We warrant that all persons whose signatures are required to authorize withdrawals from the Account have signed this Authorization and that all such persons have authority to enter into this Authorization and to bind the Biller.

  1. We hereby authorize RBC to issue PADs drawn on the Account, to collect all fees payable pursuant to the terms of the Corporate Creditor Bill Payment Service Agreement agreed to by the Biller.

  1. We may revoke this Authorization at any time upon providing written or faxed notice to RBC within 30 days before the next PAD was to be issued. To obtain a sample cancellation form, or for more information on our right to cancel a PAD Agreement, we may contact the Processing Member or visit
Cancelling the Authorization does not affect obligations between Biller and RBC under any broader contact for goods or services.
  1. We acknowledge and agree that providing and delivering this Authorization to RBC constitutes delivery by us to the Processing Member.

  1. As the payment amount is variable we waive any requirement that RBC give pre-notification of any payment amount.The Payor (Biller) and Payee (RBC) may mutually agree to reduce or waive the pre-notification requirement.

  1. RBC may issue a PAD monthly.

  1. We acknowledge that the Processing Member is not required to verify that a PAD has been issued in accordance with the particulars of this Authorization including, but not limited to, the amount, or that any purpose of payment for which the PAD was issued has been fulfilled by RBC as a condition to honouring a PAD issued or caused to be issued by RBC on the Account.

  1. We acknowledge and agree that a PAD may be disputed only if:

(i) / the PAD was not drawn in accordance with this Authorization;
(ii) / this Authorization was revoked in accordance with section 7 above.
We acknowledge and agree that in order to be reimbursed a declaration to the effect that either (i) or (ii) took place, must be completed and presented to the branch of the Processing Member holding the Account up to and including 10 business days after the date on which the PAD in dispute was posted to the Account. In the event that such declaration is not provided within the time period described herein the dispute shall be resolved solely between us and RBC outside of the payments system.
We have certain recourse rights if any debit does not comply with the terms of this Authorization. For example, we have the right to receive reimbursement for any debit that is not authorized or is not consistent with this Authorization. To obtain more information on our recourse rights, we may contact the Processing Member or visit
  1. Any term not otherwise defined herein and which appears in the “definition” section of CPA Rule H1 shall have the meaning ascribed to it therein.

  1. We hereby acknowledge and agree to the terms of this Authorization and consent to the disclosure of any personal information contained herein to the Processing Member to the extent necessary for the proper application of CPA Rule H1.

Biller Name:
Authorized Signature: ______/ Date:
(dd/mm/yyyy)
Print Name and Title:
Authorized Signature: ______/ Date:
(dd/mm/yyyy)
Print Name and Title:

I / We have the authority to bind the Corporation.

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