I authorize PISE (Pacific Institute for Sport Education) and the financial institution designated (or any other financial institution I may authorize at any time) to begin deductions as per my instructions for monthly regular recurring payments, for payment of all charges arising under my PISE membership(s). Regular monthly payments of $271.25, will be taken over 4 months starting on March 15 and then on April 15, May 15, June 15th. A total of $1085 will be deducted from your account for the training program.
This authority is to remain in effect until the end of the program term.
I understand that there is an NSF (No Such Funds) fee of $35 plus GST.
The Payee in this agreement is:
Pacific Institute for Sport Excellence Society
4371 Interurban Rd
Victoria, BC
250-220-2510
accountspayable@pise.ca
AUTHORIZATION:
I acknowledge that this agreement is provided for the benefit of the "Payee" and "Processing Institution" and is provided in consideration of the Processing Institution agreeing to process debits (PADs) against the Account with the Processing Institution in accordance with the Rules and the Canadian Payments Association (the CPA Rules).
By signing this agreement the Payor acknowledges having received and having read a copy of this agreement, including the terms and conditions.
Waiver of pre-notification (Does not apply to specific PAD's)
I waive any and all requirements of pre-notification of debiting, including, without limitation, pre-notification of any changes in the amount of the PAD due to a change in any applicable tax rate, top-up, or adjustment.