EFT Type*field type radio button
EFT TypeNew Set UpChange of Information
Please print out and sign the Electronic Funds Authorization Agreement, sign and then upload under the Authorization Signatures upload button at the bottom of the form. You can download the Electronic Funds Authorization Agreement by clicking the link below:

Electronic Funds Authorization Agreement

BUSINESS INFORMATION

Vendor #field type single line
Number can be located on a payment or EFT slip
Input blocked. Maximum character limit of 4000 characters reached.
Contact Name*field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Supplier Name*field type single line
Company Name exactly as it would appear on the invoice
Input blocked. Maximum character limit of 4000 characters reached.
Remittance Namefield type single line
If different than the supplier name
Input blocked. Maximum character limit of 4000 characters reached.
Mailing Address*field type address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country
Phone*field type single line
Enter digits only
Input blocked. Maximum character limit of 4000 characters reached.
Remittance Email*field type email
The remittance email detailing the invoice number, invoice amount paid, date of the payment, and the total dollar value of the payment will be sent to the remittance email address specified above.
Confirm Email*field type email

BANKING INFORMATION

Financial Institution*field type single line
Input blocked. Maximum character limit of 4000 characters reached.

Authorization Signatures*field type file upload
Void Cheque or Bank Letter*field type file upload
Yearfield type single line
Input blocked. Maximum character limit of 4000 characters reached.
The financial information on this form is being collected under the authority of Section 33(c) of the Freedom of Information and Protection of Privacy Act (FOIP) and will only be used for the transfer of funds to your financial institution for invoices payable by the Town of Okotoks. Should you have any questions regarding the collection or use of this information, please contact the Town of Okotoks FOIP Specialist at foip@okotoks.ca or 403.938.8944.