1. In this Agreement, I, me and ‘my’ refers to each account holder.

2. I agree to participate in this Pre-Authorized Debit Plan for personal/household or consumer purposes and I authorize the Organ Donation and Transplant Association of Canada and any successor or assign of the Organ Donation and Transplant Association of Canada to draw a debit in paper, electronic or other form for the purpose of making payment for a donation (called a ‘Personal PAD’) on my account indicated (called the ‘Account’) at the financial institution indicated (called the ‘Financial Institution’) and I authorize the Financial Institution to honour and pay such debits. This Agreement and my authorization are provided for the benefit of the Organ Donation and Transplant Association of Canada and my Financial Institution and are provided in consideration of my Financial Institution agreeing to process debits against my account in accordance with the Rules of the Canadian Payments Association. I agree that any direction I may provide to draw a Personal PAD, and any Personal PAD drawn in accordance with this Agreement, shall be binding on me as if signed by me, and, in the case of paper debits, as if they were cheques signed by me.

3. I may revoke or cancel this Agreement at any time upon notice being provided by me either in writing or orally. I acknowledge that in order to revoke or cancel the authorization provided in this Agreement, I must provide notice of revocation or cancellation to the Organ Donation and Transplant Association of Canada. This Agreement applies only to the method of payment and I agree that revocation or cancellation of this Agreement does not terminate or otherwise have any bearing on any contract that exists between me and the Organ Donation and Transplant Association of Canada.

4. I agree that my Financial Institution is not required to verify that any Personal PAD has been drawn in accordance with the Agreement, including the amount, frequency and fulfillment of any purpose of any Personal PAD.

5. I agree that delivery of the Agreement to the Organ Donation and Transplant Association of Canada constitutes delivery by me to my Financial Institution. I agree that the Organ Donation and Transplant Association of Canada may deliver this Agreement to the Organ Donation and Transplant Association of Canada’s Financial Institution and agree to the disclosure of any personal information that may be contained in the Agreement to such Financial Institution.

6. I understand that with respect to fixed amount Personal PAD’s occurring at set intervals, I shall receive written notice from the Organ Donation and Transplant Association of Canada of the amount to be debited and the due date(s) of debiting at least ten (10) calendar days before the due date of the first Personal PAD, and such notice shall be received every time there is a change in the amount or payment date(s).

7. I may dispute a Personal PAD by providing a signed declaration to my Financial Institution under the following conditions:
a. The personal PAD was not drawn in accordance with this Agreement;
b. This Agreement was revoked or cancelled; or
c. Any pre-notification required was not received by me.
I acknowledge that in order to obtain reimbursement from my Financial Institution for the amount of a disputed Personal PAD, I must sign a declaration to the effect that either (a), (b), or (c) above took place and present it to my Financial Institution up to and including but not later than ninety (90) calendar days after the date on which the disputed Personal PAD was posted to my account. I acknowledge that, after this ninety (90) day period, I shall resolve any dispute regarding a Personal PAD solely with the Organ Donation and Transplant Association of Canada, and that my Financial Institution shall have not liability to me respecting any such disputed Personal PAD.

8. I certify that all information provided with respect to the Account is accurate and I agree to inform the Organ Donation and Transplant Association of Canada, in writing, of any changes in the Account Information provided in this Agreement at least ten (10) business days prior to the next due date of a Personal PAD. In the event of any such change, this Agreement shall continue in respect of any new account to be used for Personal PAD’s.

9. I understand and agree to the foregoing terms and conditions.

10. I agree to comply with the Rules of the Canadian Payments Association or any other rules or regulations which may affect the services described herein, as may be introduced in the future or are currently in effect and I agree to execute any further documentation which may be prescribed from time to time by the Canadian Payments Association in respect of the services described herein.