Professional Documents
Culture Documents
In order to set up a bank account for scheduling online payments, you must submit a completed and
signed PAD Agreement and a void cheque. This form authorizes Imperial Oil to debit your account when
you schedule an online payment from a specific bank.
Privacy Policy
For information on Imperial Oil Limited's privacy policy on the collection, use and disclosure of your
information, please review the Privacy Statement on our website at www.imperialoil.ca. Please note that
the information collected for this Agreement may be stored by a third party storage provider in the United
States and therefore may be subject to the disclosure laws of that country. Imperial Oil Limited assures
you that it will maintain a sufficient data privacy agreement with any storage provider under contract in
order to safeguard your information. In the event that we are notified of a requirement by law to disclose
your personal information, we will use best efforts to notify you in advance and without delay in order to
provide you with an opportunity to oppose or respond to the requirement accordingly.
IOL.PAD.INST (4/09)
INDIVIDUALLY APPROVED PRE-AUTHORIZED DEBIT AGREEMENT ("PAD AGREEMENT")
Fleet and Small Business
The Payor hereby waives any and all PAD pre-notification requirements otherwise required by Rule H1.
The PAD Agreement is to remain in effect until Imperial Oil has received written notification from the Payor of its change or termination. Imperial
Oil must amend or terminate the PAD Agreement within 30 days from the time it receives notice from the Payor. To obtain a sample cancellation
form, or for more information on the Payor's right to cancel a PAD Agreement, contact your financial institution or visit www.cdnpay.ca. The
revocation of the PAD Agreement by the Payor does not terminate any contract for goods or services that exists between the Payor and Imperial Oil.
The Payor has certain recourse rights if any debit does not comply with this agreement. For example, the Payor has the right to receive
reimbursement for any debit that is not authorized or is not consistent with this PAD Agreement. To obtain more information on the Payor's recourse
rights, contact your financial institution or visit www.cdnpay.ca.
The Payor acknowledges that the information contained in the Authorization may be disclosed to Imperial Oil's financial institution(s), as may be
required or desirable to complete any PAD transaction. (Applicable to the Province of Quebec only: Such consent constituting the consent required
under the Act pertaining to the protection of personal information in the private sector (L.R.Q.c.P.39.1)).
Date Date
4. Contact Information
Please mail or fax the completed form and void cheque to: Wright Express Corporation
Treasury Group
97 Darling Avenue
S Portland, ME 04106
USA
Fax: (207) 523-7699