PAYMENTBY PRE-AUTHORIZEDDEBITS

PAYMENT

BY PRE-AUTHORIZED DEBITS

If you want to continue paying through six pre-authorized debits:

NOTE:

Notify us at once of any change to your banking information (account number or other) by enclosing a voided cheque sample.

Following renewal of the registration of your vehicle(s), you will be sent a confirmation of your pre-authorized debits by mail.

Do you want to use this payment method?

IT’S SIMPLE!

1. your payment notice;

2. the detachable part of the pre-authorized debit agreement, signed;

3. your voided cheque.

Following renewal of the registration of your vehicle(s), you will be sent a confirmation of your pre-authorized debits by mail.

If registration changes are made at your request during the year, we will advise you of any change to your coming debits.

Notify us at once of any change to your banking information (account number or other).

Do you want to stop debit payments?

• Make your payment without delay by using one of the methods listed on the back of the payment notice.

• Make sure you pay by the due date shown on the payment notice.

R E G I S T R A T I O N R E N E W A L

Payto ''VOID''

Pay

to ''VOID''

PRE-AUTHORIZED DEBIT AGREEMENT

PAYMENT NOTICE REGISTRATION PAYMENT NOTICE REGISTRATION

The Société de l’assurance automobile du Québec

is making available a payment method for renewal of the registration of your vehicle(s): six pre-authorized debits.

This payment method is reserved for owners:

• of vehicles weighing over 3,000 kg;

or

• who paid $15,000 or more in registration fees during the past year;

or

• who are International Registration Plan registrants.

To qualify, you must not have had an overdue account with the SAAQ during the previous two years.

Pre-authorized debits cover:

• Québec registration fees

• the insurance premium and tax

• any additional contribution and fee

• an administrative charge

• an instalment fee

• a debit payment charge ($4.75 per vehicle).

For further information,

phone Monday through Friday from 8 am to 5:30 pm:

• 514-873-7620 in Montréal;

• 418-643-7620 in Québec (city and vicinity); or

• 1-800-361-7620, toll free, from elsewhere in Québec, Canada, USA.

Website: www.saaq.gouv.qc.ca

C-4577A (06-12)