PRE-AUTHORIZED PAYMENT PLANS
EQUAL OR EXACT PAYMENT
500 Second Line East PO Box 9000
Sault Ste. Marie ON P6A 6P2
Tel-705-759-6522 Fax-705-759-6510
email: [email protected]
Equal Plan-Twelve equal payments are automatically withdrawn from your bank account from September
to August. You have the option to choose from 4 withdrawal dates in the month - 4th, 11th, 18th, or 25th.
Equal payments are recalculated in August of each year based on your previous 12 months billing history.
Outstanding balances will be included into the calculation of your new equal payment amount for the next term.
Credit balances will be deposited into your bank account within seven days after your August payment date.
You will be notified in writing of your new payment amount in August of each year.
Exact Plan- The exact amount due on your bill will be automatically withdrawn from your bank account on the
due date or within 7 days of the due date.
To be eligible, your account must be paid in full prior to starting on the payment plan and you cannot have had
more than 2 returned cheques in the last twelve months. You will be removed from the payment plan at the
discretion of PUC Services if a payment is returned by the bank and any amount overdue at that time is
immediately payable. You may withdraw from the payment plan at any time by notifying PUC Services in
writing 10 days before your next payment date.
Pre-Authorized Payment Form
PUC Account Number:
Bank Name:
Name:
Bank Number (3 digit):
Service Address:
Branch Name:
Phone Number:
Branch Number (5 digit):
Plan Type-Circle One EQUAL OR EXACT
Bank Account Number:
Equal Plan-Circle one withdrawal date
4th 11th
18th
25th
*Amount $
*PUC Services will calculate your equal payment amount based on prior year's consumption history when available.
Exact Plan-Withdrawn on the due date each month
I/we hereby authorize PUC Services to debit my bank account for payment of my PUC Services account.
Date:
SSignature:
Date:
Signature:
Note: Please enclose a blank cheque from your Financial Institution marked "VOID".
Please check (
) if providing new banking information only.