Customer Information

Ex: (306) 234-5678 ext9999

Ex: (306) 234-5678 ext9999

Ex: (306) 234-5678 ext9999

Bank Account Information

Customer Authorization

I agree that by submitting this application, I am electronically signing the application.

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For Automatic Payment Only

I/We authorize SaskPower and the financial institution designated (or any other financial institution I/we may authorize at any time) to begin deductions as per my/our instructions for monthly regular recurring payments and/or one-time payments from time to time, for payments of all charges arising under my/our SaskPower account(s). Regular payments for the full amount of services delivered will be debited to my/our specified account on the withdrawal date. SaskPower will obtain my/our authorization for any other one-time or sporadic debits.

This authorization is to remain in effect until SaskPower has received written notification from me/us of its change or termination. This notification must be received at least ten (10) business days before the next debit is scheduled at the address provided below. I/We may obtain a sample cancellation form, or more information on my/our right to cancel a Pre-authorized Payment Plan Agreement at my/our financial institution. I/We acknowledge that this authorization is to remain in effect until SaskPower have sent me/us written notice of termination of this agreement, and that SaskPower has the authority to terminate the plan upon notice.

I/We have certain recourse rights if any debit does not comply with this agreement. For example, I/we have the right to receive reimbursement for any Pre-authorized Payment that is not authorized or is not consistent with the Pre-authorized Payment Plan Agreement. To obtain a form for a reimbursement claim, or for more information on my/our recourse rights, I/we may contact our financial institution.