EFT Payment Authorization

We reimburse our Applicants by EFT

Please complete the form below, and click submit.

If we have any questions, we will get in touch with you via the email address you provided.

Applicant Information

Organization Name

Must match the name on the funding application

Key Contact First & Last Name

Address

City

Province

Key Contact Email

Key Contact Phone Number

Bank Account Information

Name of Bank

Bank Number (3 digits)

Transit Number (5 digits)

Account Number

Please Upload a Void Cheque or Bank Confirmation

Maximum file size: 30MB

Authorization

By completing and submitting this form you agree to accept payments from SCRAP-IT Society (on behalf of the EV Fleet Charging Program) by way of Electronic Funds Transfer (EFT) to the account provided above.

I agree

Verification

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