Payment Options


Pre-Authorized Chequing

Pre-Authorized Chequing

Monthly Pay

Payment Form

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)

Credit Card

Credit Card

Annual or Quarterly Pay

Credit Card

Click on the link above to pay via Credit Card


Quarterly Payments

Due prior to effective date of your policy

and at 3, 6, and 9 months after.


(Quarterly Payments - Service Charge of 3% -

Minimum $5.00 per installment)



Annual Pay


Mail Cheque to:

710 - 50 Queen St N
Kitchener, ON, N2H 6P4



Payable to: Max Insurance