high-speed internet access  dial-up internet access  hosting  development  rapids server  virus scanning  privacy statement  acceptable use policy  terms and conditions  Pre-Authorized Payment Form Click Here to see an example cheque to find your banking information. Name    Please enter your name as it appears on the cheque Address: City/Town: Postal Code: Phone: Email:   Name of Bank  Bank Address: City/Town: Postal Code: Bank Number: Transit Number: Account Number: Please read the following before submitting the application I/We (the above named customer) authorize Sentex Communications to debit my/our account indicated above, in the amount of $ on the 1st day of each month, for payments payable to the company in respect of the Personal Preference Package of Internet services. Each payment shall be the same as if I/we had personally issued a cheque authorizing the bank to pay Sentex Communications as indicated and to debit the amount specified to my/our account. I/we will notify Sentex promptly in writing if I/we move the account from one branch to another, or if there is any other change in the account. I/we understand that the bank is not responsible to verify whether the payments are properly debited to my/our account. This authorization may be cancelled at any time with 30 days written notice from me/us to Sentex. I/we understand that if we cancel this authorization, it does not mean that our contract obligations to Sentex are ended. Any delivery of this authorization to Sentex constitutes delivery by me/us to the Bank. I/we am/are all the persons who are required to sign on the above accounts. I/we have received a signed copy of this authorization form. Submit this form: or reset this form: