Transcription of PRE-AUTHORIZED BILL PAYMENTS - uknow2
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PRE-AUTHORIZED BILL PAYMENTS - uknow2
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.* Signature and date required below.*This authorizes any of the Rogers group of companies ( Rogers ) to debit my/our account shown above to pay my/our periodic charges for the provision of Rogers goods and/or services, including all services provided by Rogers Wireless Partnership and all services (including Rogers Internet and Rogers Home Phone services) provided by Rogers Cable Communications acknowledge that this authorization is for the use of Rogers and my/our financial institution and is provided in consideration of my/our financial institution agreeing to process debits against my/our account as per the rules of the Canadian PAYMENTS Associ
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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