PREAUTHORIZED PAYMENT PLAN
CUSTOMER AUTHORIZATION FORM

To enroll in the Preauthorized Payment Plan, pay your current bill as you normally would, print and complete this application and mail or fax it along with your void cheque to:

Festival Hydro,
PO Box 397,
Stratford Ontario, N5A 6T5,
or fax to (519) 271 7204.

Name on Bill:
 
Telephone:
(_____)
Festival Hydro Account #:
 
-
 
 
Service Address:
 
City:
 
Postal Code:
 

Bank Account Information

Bank  & Branch  Number   Bank Name
 
 
 
Bank Account Number   Branch Address
 
 
 

I hereby authorize the financial institution named above to debit my account for payment of my Festival Hydro bill.  This authority will remain in effect until Festival Hydro receives written notification from me or until Festival Hydro sends me notice of termination.

Signature(s):
*
 
*

*If more than one signature is required on a cheque, then both signatures are needed here.                  

FINDING YOUR BANK INFORMATION ON YOUR CHEQUE

Sample

BRANCH #

 

BANK #

 

YOUR BANK ACCOUNT  NUMBER

5

0

5

7

7

 

0

0

2

 

2

7

5

8

2

5

         
 
     
 
           

(# of digits will vary)

Remember to sign and send in your form and void cheque by mail or fax. Festival Hydro must receive a handwritten signature to process your application.