Transcription of PRE-AUTHORIZED BILL PAYMENTS - uknow2
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PRE-AUTHORIZEDBILL PAYMENTSFREE UP YOUR TIME FOR MORE IMPORTANT # W10164 ROG_577_PAP_ON_EN:5006-455RW_PAPBro_ON_E N 5/1/08 8:34 AM Page 1 Please select the Rogers account(s) you would like to place on PRE-AUTHORIZED bill PAYMENTS : WIRELESS CABLE HOME PHONE INTERNETP lease complete all required information as identified by *ACCOUNT HOLDER NAME(S)*HOME TELEPHONE #* WIRELESS PHONE #ADDRESS*CITY/TOWN* PROVINCE* POSTAL CODE*ROGERS ACCOUNT(S) # For PRE-AUTHORIZED Bank Account PAYMENTS :BANK NAME* BANK BRANCH NUMBER* Example: 12345 BANK NUMBER* BANK ACCOUNT NUMBER*Example: 002 Example: 1234567 BANK ADDRESS*CITY/TOWN* PROVINCE* POSTAL CODE*A sample cheque marked VOID has been enclosed.
Please select the Rogers account(s) you would like to place on Pre-Authorized Bill Payments: WIRELESS CABLE HOME PHONE INTERNET
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TD Canada Trust, Credit Card Pre-Authorized Payment, USPSCA Application, Payment, Credit Card Credit Card, Credit card, REVOLVING CREDIT AGREEMENT, Scotiabank, Card, BANK OF CHINA MACAU BRANCH, Credit, Welcome to your CIBC Dividend, CIBC, Authorization for Personal Pre-Authorized, NO CALL” PRE-AUTHORIZED RETURN FORM