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Thank you for submitting your authorization to directly debit your bank account for a donation. Your donation will be processed in due course. To complete your authorization, please read and accept the terms and conditions below:

Spending of funds is confined to board approved programs and projects. Each contribution designated toward an approved program or project will be used as designated, with the understanding that when the need for such a program or project has been met, or cannot be completed for any reason determined by the National Committee, the remaining contributions designated for such programs or project will be used where needed most.

Recurring monthly amount of

I authorize MSC Canada to debit the bank account indicated above on the 10th of each month until such time as this agreement is cancelled in writing.
I will notify MSC Canada in writing of any changes in the account information or termination of this authorization prior to the next due date of the pre-
authorized debit.
I agree to the terms and conditions outlined in this form.
I acknowledge that delivery of my authorization to MSC Canada constitutes delivery by me to the branch of the financial institution at which I maintain an account. My financial institution is not required to verify that the payment(s) are drawn in accordance with this authorization.
This payment shall be the same as if I had personally issued a cheque authorizing the bank to pay MSC Canada as indicated and to debit the amount specified to my account.
Debits processed under any of the following conditions will be reimbursed subject to written notification by me to the branch of account within 90 days: - The pre-authorized debit was not drawn in accordance with my authorization; - My authorization was revoked.
I warrant that all persons whose signatures are required to sign on this account have signed this agreement.