PAD Form

Name *

Mailing Address *

City *

Province *

Postal code *

TD Credit Card Account Number ("TD Credit Card Account") *

TD Credit Cart Account Payment Amount (Check one) *

Minimum payment
Balance in full

Pre-Authorized Debit from Canadian Chequing or Savings Account ("PAD account") *

Chequing Account
Saving Account

Pay Above TD Credit Card Account from your Canadian Dollar Chequing or Savings account describe below (The "PAD Account") Enter Account Number: *

Account Number Here

Transit Number *

Transit Number Here

Financial Institution Number *

Financial Institution Number Here

Financial Institution Name *

Financial Institution Address *

IMPORTANT: If your PAD Account is not with TD, you must include a VOID cheque for a chequing account or the top portion of your statement for a savings account. Your PAD account cannot be processed without it.

PAD Request Options (select one) *

New PAD Set-Up
Change Existing PAD Account
Cancel Existing PAD