Payment Plans for Commercial Complete the form below. "*" indicates required fields Account number: Business Name:* Contact Person Name:* First Last Address:* Street Address Address Line 2 City Province AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Postal Code Email:* Phone:*Set Up or Change Payment Information:* Pre-Authorized Payment (PAP) -Full Payment on due date Change Banking information Stop Pre-authorized Payments Note: The total bill balance will be taken from your account on the due date. Note: This form must be submitted at least ten (10) business days before the next withdrawal is scheduled.You must submit a VOID Cheque or a Direct Debit form to enroll in the Pre-Authorized Payment Plan (PAP) OR to change banking information.*Accepted file types: jpg, gif, png, pdf, Max. file size: 2 MB.Terms and Agreements I/we authorize Orangeville Hydro Limited, and the financial institution designated (or any other financial institution I/We may authorize at any time) to begin deductions as per my/our instructions for monthly payments, for payment of all charges arising under my/our Orangeville Hydro Limited account(s). Payments for the services delivered will be debited to my/our specified account on the day agreed upon with Orangeville Hydro Limited Orangeville Hydro Limited will provide 10 days written notice of the amount of each regular debit. Orangeville Hydro Limited will obtain my/our authorization for any other one-time or sporadic debits. This authority is to remain in effect until Orangeville Hydro Limited has received written notification from me/us of its change or termination. This notification must be received at least ten (10) business days before the next debit is scheduled at the address provided below. Orangeville Hydro Limited may not assign this authorization, whether directly or indirectly, by operation of law, change of control or otherwise, without providing at least 10 days prior written notice to me/us. I/we have certain recourse rights if any debit does not comply with this agreement. For example, I/we have the right to receive reimbursement for any PAD that is not authorized or is not consistent with this PAD Agreement. To obtain a form for a Reimbursement Claim or for more information on my recourse rights, I/we may contact my/our financial institution or visit www.cdnpay.ca.Consent:* I agree to the Terms and Agreements.Additional Comments: