Pre-Authorized Payment Information

Pre-Authorized Payment Information | Competition Team

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Member Name

Membership Number

Competition Team Trainings

Total Competition Fees

Discount

Training Sessions

Starting Date

Name

First

Last

Address

City

State/Province

Zip/Postal

Country

Phone

Please Choose One of The Following

New Application / Updated Bank Information

Use Current Bank Information on File

Name and Location of Financial Institution

Transit Number

Institution Number

Account Number

Void Cheque

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