Pre Authorisation Debit, Agent Monthly Fee

Name *

Email *

Choose your payment method *

Bank Account Details

Account Holder Name *

Transit Number *

Institution Number *

Account Number *

Credit Card Details

Cardholder Name *

Credit Card Number *

CVV *

Card Expiry (MM/YY) *

Postal Code *

Digital Signature / Typed Name *

Clear

Authorization

By submitting this form, you authorize Dreamloan Mortages Inc to charge your monthly agent fee using the payment method you've selected. You confirm that the information provided is accurate, you are the authorized account holder, and you agree to recurring monthly charges until you request cancellation in writing. This authorization follows the requirements for pre-authorized debits and credit card billing in Canada.

Payment Policy & Processing Fees

To avoid processing fees, please pay your monthly desk fee by e-transfer on or before the 5th of every month to:

Processing Fees (if using this pre-authorized payment method):

Credit Card: 2.99% + $0.25 per transaction
Debit Card/Bank Account: 1% per transaction

Important: If payment is not received by the 5th of the month, your monthly desk fee will be automatically charged on the 6th using the payment method specified in this form, and applicable processing fees will apply.