APPLICATION FOR VENDOR DIRECT DEPOSIT PAYMENT
New Application Change of Information
1. All fields on this form are mandatory and must be completed by the vendor (please print) prior to submitting the form
2. Please attach a blank void cheque for all banking information provided below. If a void cheque is not available, please
attach a letter from your financial institution confirming the banking information.
3. Send the completed application to ProcureToPay@smu.ca
Procure to Pay Services, Saint Mary’s University, 923 Robie Street, Halifax, NS, B3H 3C3
OR Fax to 902-420-5180
Address for Notification of Deposit (
The required banking information may be located on your bank statement, encoded deposit slip, cheque (see
sample below), bank account passbook or obtained by contacting your financial institution.
***** PLEASE ATTACH A CHEQUE MARKED “VOID” *****
I/we, the above named business, authorize Saint Mary’s University to credit my/our bank account indicated above. I/we will
notify Saint Mary’s University Procure to Pay Services promptly in writing if my/our banking information is changed. I/we are
authorizing signing officer(s) for the business. I/we have retained a signed copy of this authorization form.
________________________________________ ____________________________________________ ____________________________
Name of authorized signing officer(s) Signature(s) Date
Procurement Services Approval Date Vendor ID
Setup Processed Date Address Type
Setup Verified Date Address Seq.
Financial Services – Procure to Pay Services February 2017
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