Payment Requisition Submission

Payment request (also known as a cheque requisition) is a request for NCAC to issue payment in Canadian funds directly to a supplier/vendor. To make a payment request, requestor must submit the copy of the receipt and/or invoice from the supplier/vendor along with a completed Payment Request form (see below). The details section of this form must be filled out, and the request must be approved by the president of NCAC or his/her designee.

We are excited to announce that we will be processing payments using Electronic Funds Transfer (EFT) going forward. Please make sure to include your banking details in the space provided. Alternatively, you can upload a copy of a void check for reference.

Fill out the form below to submit a request for payment to the NCAC.

Name *

First

Last

Name of Organization (If Applicable)

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Email *

Phone

Membership Status *

Date Good(s) or service(s) Was Rendered: *

Amount in dollars (CAD) *

Payable to *

Bank Name *

Please enter the name of your bank

Transit Number *

Enter your bank transit #

Institution Number *

Enter your bank code/institution number

Account Number *

Enter your bank account number

Goods or services rendered *

Upload a document

Click or drag files to this area to upload. You can upload up to 15 files.

Captcha *

Name

Payment Requisition Submission

We are excited to announce that we will be processing payments using Electronic Funds Transfer (EFT) going forward. Please make sure to include your banking details in the space provided. Alternatively, you can upload a copy of a void check for reference.

Fill out the form below to submit a request for payment to the NCAC.

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