Support Cochrane-Temiskaming Youth For Christ
Support by Pre-Authorized Debit

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Payor's Acceptance and Authorization: I/We, by selecting "YES" and submitting this form, authorize Cochrane-Temiskaming Youth for Christ (the Payee) to issue PADs (as defined in CPA, Rule H1) drawn on the above account in accordance to the "Terms and Conditions" of the Pre-Authorized Agreement for the agreed upon amount on a monthly basis.

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Payments will start on the nearest date once form is submitted.If you have any questions, please contact the Cochrane-Temiskaming YFC offices at Thank you for your support. Your Payor’s Pre-Authorized Debits (PADs) agreement may be cancelled provided notice is received thirty (30) days before the next scheduled PAD. If any of the above details are incorrect, please contact us immediately at If the details are correct, you do not need to do anything further and your Pre-Authorized Debits will be processed and start on the payment start date indicated in the form you completed which will be either the 1st or 16th of each month. You have certain recourse rights if any debit does not comply with these terms. For example, you have the right to receive a reimbursement for any PAD that is not authorized or is not consistent with this PAD Agreement. To obtain more information on your recourse rights, contact your financial institution or visit Canadian Payments Association at

CTYFC’s charitable registration number is 864122643RR0002.

Prefer to give a different way?
You can also can also support us through pre-authorized credit card or cheque.