Fillable ELECTRONIC FUNDS (CAD $ ONLY) TRANSFER REQUEST FORM (HTS Freight Logistics)

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ELECTRONIC FUNDS (CAD $ ONLY) TRANSFER REQUEST FORM (HTS Freight Logistics)

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ELECTRONIC FUNDS (CAD $ ONLY) TRANSFER REQUEST FORM
Company Name (as it appears on bank account):
_____________________________________________________________________________________
Bank Name:
_____________________________________________________________________________________
Branch Address:
_____________________________________________________________________________________
Account Number:
_____________________________________________________________________________________
Transit Number:
_____________________________________________________________________________________
Bank Code:
_____________________________________________________________________________________
Please a�ach voided check.
Contact Name: _____________________________
Email:__________________________________
Authorized by: _____________________________ Date:___________________________________
Name:____________________________________
(Please Print)
P.O. Box 481, Station Main, Bolton, ON L7E 5T3
Office: (905) 951-2119 • Toll Free: (877) 798-1750 • Fax: (905) 951-8523 • www.HTSfreight.com
PLEASE PRINT & SIGN. FAX TO HTS (905)951-8523. E-MAIL: ADMIN@HTSFREIGHT.COM
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ELECTRONIC FUNDS (CAD $ ONLY) TRANSFER REQUEST FORM (HTS Freight Logistics)

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Completed 18 June 2021

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