Electronic Funds Transfer (EFT) Authorization Form Via Plooto

You can submit your Electronic Form Information (EFI) in whichever way works best for you. A printable version is available if you prefer to fill it out by hand. Please return this form and/or void cheque to ed@downtownpg.com or in person at our office; 1406 2nd Avenue, Prince George, BC. , or you can complete the online EFI form and submit it directly through our website. Both options ensure we receive the information needed to process your payment smoothly.

Supplier Information & Banking Information

Is this for a New Application

Yes No

Is this for a Change to an Application

Yes No

Company Name

Mailing Address

City

Province

Postal Code

Phone Number

Account holder’s name:

Branch (Transit) number:

Banking Institution number:

Account number:

Authorization: I hereby authorize Downtown Prince George to process direct deposits to the account specified in the supplier banking information section. I agree to not hold Downtown Prince George responsible for any delay or loss of funds due to incorrect or incomplete information supplied by me or by my financial institution or due to an error on the part of my financial institution in depositing funds to my account. This agreement will remain in effect until Downtown Prince George receives written notice of cancellation from me or my financial institution, or until I submit a new direct deposit form.

Name Authorized by:

Title

Date

By providing this information, the Contractor confirms it is accurate and authorizes Downtown Prince George to issue payment via e‑transfer.

Electronic Funds Transfer (EFT) Authorization Form Via Plooto

Supplier Information & Banking Information

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