I wish to support Our Lady of the Holy Rosary Church through pre-authorized remittances.

DIRECT DEPOSIT

I wish to support Our Lady of the Holy Rosary Church through pre-authorized remittance.

Please debit my bank account (enter amount of monthly donation below) on the 20th of each month or the first business day following (a cheque marked 'VOID" or a direct deposit form will also need to be forwarded to holyrosary@cogeco.net):

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I do have certain recourse rights if any debit does not comply with this agreement. For example, I have the right to receive reimbursement for any debit that is not authorized or is not consistent with this PAD agreement. To obtain more information on my recourse rights, I may contact my financial institution or visit www.cdnpay.ca.

I may revoke my authorization at any time, subject to providing 30 days notice.  To obtain a sample cancellation form or for more information on my right to cancel a PAD agreement, please contact your financial institution or visit www.cdnpay.ca

Our Lady of the Holy Rosary Church

21 Queen Street South

Thorold, Ontario

L2V 3M7

       Phone: 905-227-3178   Fax: 905-227-9133

  e-mail:holyrosary@cogeco.net

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