Pre-Authorized Payments

*	Account Number:	PRE-AUTHORIZED CHEQUE (PAC) AUTHORIZATION I/We, as the account holder(s), authorize Westario Power and my/our financial institution to debit my/our account, in the amounts and on the due dates specified on the utility bills issued by Westario Power. Westario Power will, to the best of their ability, mail my/our bill sixteen days prior to the due date as pre-notification.
*	Customer:
*	Service Address:
	Billing Address:
*	Telephone:
	Email:

*	Bank Name:
*	Branch Transit #:
*	Type of Account:	SavingsCurrentChequing
*	Bank Account Number:

		By submitting this form to Westario Power, I/we acknowledge and accept the terms as detailed in the section PRE-AUTHORIZED CHEQUE (PAC) AUTHORIZATION above. THIS AUTHORIZATION MAY BE CANCELLED AT ANY TIME UPON WRITTEN NOTICE BY ME/US.