Vendor Application for Direct Deposit/ EFT

Vendor Information

Legal Business Name *

Contact Person's Name *

Address *

Phone Number *

Email for Contact Person *

Fax Phone Number

Email Address for Payment Notification *

Bank Information

Bank Name *

Branch Address *

Account Number *

Bank ID *

Branch/ Transit Number *

Void Cheque *

File upload is limited to 20 MB pdf, doc, docx, xls, xlsx, ppt, pptx, odt, ods, odp, txt, jpg, png.

Authorization by: *

By clicking submit, I declare that I understand that I authorize The Town of Tisdale to deposit to the bank account identified above until advised otherwise

* - denotes required field