How to Sign-up to Pre-Authorized Debit

To sign-up to pre-authorized debit, fill out the form below and send a picture of a void cheque to [email protected].

You can also print out this PDF form, complete it, and send it with a void cheque to:

Coopérative Hydro Embrun Inc.
821 Notre Dame Street Suite 200
Embrun ON K0A 1W1

Pre-Authorized Debit Application