The Broker Direct Deposit Request Form |
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*required fields Note: please use your TAB key to navigate. |
Company Name |
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Broker Name |
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Initial Request
Change in Banking Information
Cancellation
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*Note: To ensure accuracy you must mail an ORIGINAL PERSONAL VOID CHEQUE. |
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It is understood that:
- This banking information will be used solely for the purpose of depositing broker commissions.
- This information will be held in the broker contract file.
- AVP Financial Corp. reserves the right to pay broker commissions by cheque at any time.
- It is the sole responsibility of the broker to ensure the accuracy of the banking information provided above.
- Any subsequent changes in banking information must be reported in a timely fashion.
- AVP Financial Corp. may terminate payment by Direct Deposit without prior notice or authorization from the broker.
- If you wish to receive notification of deposit via email, please provide an email address below. Otherwise, notification will be mailed.
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AVP Health & Welfare Trust
222, 855 - 42 Avenue SE Calgary AB T2G 1Y8 |
Questions?
Call: 403.214.3213 or 888.214.3211 Toll Free Fax: 866.213.5514
E-mail: info@bizflex.ca
www.bizflex.ca
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