Name: 

Account# CADA-Canyon Meadows CADB-Northeast CADF-Westbrook EDEA-Westgate EDEB-Heritage EDED-Northgate

By attaching a VOIDED cheque or providing credit card information or a void credit card imprint you will authorize your financial institution to automatically transfer the monthly payments due to the Club or its assigns or agents. The Buyer authorizes her financial institution to make the monthly payments indicated above on or before the monthly due date and post it to her account.

FINANCIAL INSTITUTION

BRANCH

TYPE OF ACCOUNT (Check One)

Chequing

Savings

Chequing/Savings

Credit Card

BANK OR CREDIT CARD ACCOUNT#

EXPIRY (If Applicable)

NUMBER OF PAYMENTS        AMOUNT $

FIRST DUE DATE Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010  

THE BUYER MAY DISCONTINUE OR ALTER THIS METHOD OF PAYMENT ON 30 DAYS WRITTEN NOTICE TO PARAMOUNT ACCEPTANCE AND PAYMENT OF $25.00 PLUS GST.

DISCONTINUING OR SIGNIFICANTLY ALTERING THE PREAUTHORIZED WITHDRAWAL PLAN WILL DISALLOW THE BONUS RECEIVED FOR SELECTING THIS METHOD OF PAYMENT.

ALL PAYMENTS MUST BE MADE BY EFT IN ORDER TO QUALIFY FOR THE BONUS.

DATE:_________________________  

BUYER'S SIGNATURE _________________________________________

***CUSTOMER CAN PAY MEMBERSHIP IN FULL AT ANY TIME WITHOUT BEING PENALIZED***