EFT Authorization Form - Office to Advance Women Apprentices NL (OAWA-NL)

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Business Information

Business/Organization Legal Name*

Accounts Payable Contact*

First Last

Email Address (for AP dept)*

Phone*

Mailing Address*

Street / PO Box City Province Postal Code

Note: • Notice of remittance will be sent via email from eclarke@cmcnl.ca to the email specified above. • Received deposits will display as UBC/local 579 (Office to Advance Women Apprentices).

Business Baking Information

Name of Bank

Bank Mailing Address*

Address City Province Postal Code

Bank ID (3 digits)*

Transit ID (5 digits)*

Account #

Authorization

I authorize the Office to Advance Women Apprentices (OAWA) to deposit, by electronic fund transfer, payments owed to me for Wage Subsidy Program Payment Claims and, if necessary, to debit entries and adjustments for amounts deposited electronically in error. I recognize that if I give incomplete or inaccurate information on this form, payments may be made to the wrong account. In addition, I understand that it is my responsibility to notify OAWA should there be any change with the banking information for payments.

Name*

First Last

Title/Position*

Signature*

Date*