Pre-Authorized Debit Agreement

I authorize The Hospital for Sick Children Foundation and the financial institution named above (or indicated on the void cheque I have provided) to withdraw from my account the monthly donation amount specified above.

I understand my donation will come out on the 15th of every month or if the 15th falls on a weekend or holiday, it will be processed on the next business day. I agree to provide The Hospital for Sick Children Foundation (“SickKids Foundation”) with a minimum of 10 days advance notice prior to my debit for processing any changes inclusive of cancellation.

I acknowledge that I have certain recourse rights that I can follow if any debit does not comply with this agreement. For example, I have the right to receive reimbursement for any debit that is not authorized or is not consistent with this PAD agreement and that I may contact my bank/financial institution for further information or visit https://www.payments.ca/.

I warrant & guarantee that all persons whose signatures are required to sign to debit this account have been provided. I waive the right to receive pre-notification of the amount to be debited each month under this agreement. If I do not agree with any of the terms and conditions described above, need to make any changes, or cancel my donation, I will contact SickKids Foundation immediately by calling 1-800-661-1083 or visiting https://www.sickkidsfoundation.com/aboutus/contactus.