Pre-Authorized Chequing
Monthly Pay
Please complete and sign the payment form on link above. Withdrawal is on the 15th of every month.
Email completed form to:
(Service Charge of 3% - Minimum $2.00 each installment)
Monthly Pay
Please complete and sign the payment form on link above. Withdrawal is on the 15th of every month.
Email completed form to:
(Service Charge of 3% - Minimum $2.00 each installment)
Annual Pay
Mail Cheque to:
710 - 50 Queen St N
Kitchener, ON, N2H 6P4
Payable to: Max Insurance
710-50 Queen St. North
Kitchener, ON, N2H 6P4
©2020 Max Insurance