Pre-Authorized Debit (PAD) Agreement

1. Payor Information

2. Bank Account Information

Financial Institution:

Transaction Date:

3. Pre-Authorized Debit (PAD) Details

I/We authorize (Red Door Housing) and the finical institutions designated (or any other finical institution I/We may authorize at any time) to begin deductions as per my/our instructions for monthly recurring payments, for payment of all charges arising under my/our Reddoor housing Society account. Regular monthly payments for the full amount of services delivered will be debited to my/our specified account on the 1st day of each month. These services are for (rent)

Red Door Housing Society will obtain my/our authorization for any other one-time or sporadic debits and provide me with a 10 calendar day's written notice prior to any debits. This authority is to remain in effect until Red Door Housing Society has received written notification from me/us of its change or termination. This notification me be received at least thirty (30) calendar days before the next debit is scheduled at the address provided above. I/We may obtain a sample cancellation form, or more information on my/our right to cancel a PAD Agreement at my/our financial institution ob by visiting

In the case of variable amount PADs, Red Door Housing Society will provide 10 days written notice prior to any changes in the fees and/or its schedule.

I/We have certain resource rights if any debit does not comply with this agreement. For example, I/we have the right to receive reimbursement for any PAD that is not authorized or is not consistent with the PAD Agreement. To obtain a form for a Reimbursement Claim, or for more information on my/our recourse rights, I/we may contact my/our financial Institution or visit

I/We understand and accept the terms of participating in the PAD plan.