Financial Services

65 York Street
Sackville, NB E4L 1E2
Canada
www.mta.ca

Dear Employee/Student:

Mount Allison University is offering electronic fund transfer (EFT) payments

for your expenses under $10,000. EFT is a faster more secure way for
payments to be made. If you would like to sign up for EFT payments, please
fill out the form on the reverse and return with a void cheque or letter from
your bank. The forms can be sent via fax: (506)364-2216,
email:purchasing@mta.ca, or mail: Mount Allison University, Procurement,
65 York Street, Sackville, NB, E4L 1E4.

Information that was previously provided on a cheque stub will now be sent
to the email address you provide on the form.

Should you have any questions or concerns regarding this process, please
contact me.

Sincerely,

Cindy Landry, CPA, CA

Assistant Controller
Mount Allison University
65 York Street, Sackville NB E4L 1E4
Tel: (506) 364-2242
E-mail: celandry@mta.ca
 Authorization Agreement

I hereby authorize Mount Allison University to initiate EFT payments to my

account at the financial institution named below for payment of my
expenses or student payments.

Further, I agree not to hold Mount Allison University responsible for any
delay or loss of funds due to incorrect or incomplete information supplied by
myself, by my financial institution, or due to an error on the part of my
financial institution in depositing funds to my account.

This agreement will remain in effect until the relationship with Mount
Allison University ceases, or until I submit a new direct deposit form to the
Financial Services Department.

Please complete the following and provide a void cheque or letter from
your bank when returning this document.

Account Information

Employee/Student name:
____________________________________________________

Employee ID #: ________________

Email for Remittance: _______________________________________________________

Name of Financial Institution:

_________________________________________________

Institution Number (3 digits): ____________________

Transit Number (5 digits): ______________________

Account Number: ___________________________________________________________

 This is a request to change the current account information.

Please provide current account information

________________________________________

Your Signature: ____________________________ Date: ____________________