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(306) 569-7773
info@albaaqi.ca
Home
About Us
Vision and Mission
Quran Academy
Donation Request
Contact
Membership
Pre-Authorized Debit Form
Become a Valunteer
Prayer Timings
Namaz
Time
Fajr
7:45 AM
Zuhr
2:11 PM
Asr
4:21 PM
Magrib
6:44 PM
Isha
8:38 PM
Pre-Authorized Debit Form
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Pre-Authorized Debit Form
PRE-AUTHORIZED DEBIT AGREEMENT
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I want to support AL-BAAQI MASJID through monthly donations. By signing this agreement, I authorize AL-BAAQI FOUNDATION to debit my bank account monthly on the______day of the month.
Please debit my bank account: (attach VOID Cheque):
$50
$100
$500
$1000
Other Amount $
For the purpose:
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Pre-Authorized Cheque/Debit (Billing Cycle: Monthly)
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Void Cheque Received?
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I authorize AL-BAAQI FOUNDATION to charge the credit card listed below for the amounts set forth above,
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Type of Card:
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This authority is to remain in effect until
AL-BAAQI FOUNDATION
has received written notification from me/us of its change or termination. This notification must be received at least thirty (30) days before the next debit is scheduled at the address provided above. I/We may obtain a sample cancellation form, or more information on my/our right to cancel Pre-Authorized Debit Agreement at my/our financial institution or by e-mailing at donate@albaaqi.ca.
I/We have certain recourse rights if any debit does not comply with this agreement. For example, I/We have the right to receive reimbursement for any Pre-Authorized Debit that is not authorized or is not consistent with this Pre-Authorized Debit Agreement. To obtain a form for Reimbursement Claim, or for more information on my/our recourse rights, I/We may contact my/our financial institution
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