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Our Forms

Pre-Authorized Direct Debit (PAD) Agreement

This authority is to remain in effect until Astro Guard Alarms has received written notification from me/us of its change or termination.

Date:

Name(s):

Name on account (if different from above):

Type of Service: Alarm Monitoring

Address:

City:

Province:

Postal Code:

Phone Number:

Financial Institution:

Transit No.

Institution No.

Account No.

Please also attach a void cheque OR direct deposit slip from your bank if we do not already have one on file.

Amount:

Frequency: Monthly

Process Date: 1st of each month

Date:

Signature:

Cancellation Request Form

Account name:

Street Address:

City:

Province: BC

Postal Code:

Phone Number:

Please note we do require 30 days’ notice for cancellation as per your contract.

For further information see your contract for terms and conditions.

Today’s Date:

Cancellation Date:

Reason for cancellation:

Comments:

If you have equipment on loan, we will contact you to make arrangements for the return.

Signature:

Date:

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