Vendor Banking Information and Authorization

Please complete the form below to expedite invoice payment by the CRA.

If you prefer to submit your information in writing, please fill in this form and mail it to:
Canadian Rheumatology Association
280-13300 Tecumseh Road E.
Suite 386
Tecumseh, Ontario N8N 4R8

If you have any questions, contact our Senior Bookkeeper Lisa Prout at 905 952-0698 Ext. 6.

    Personal Information
    All fields in this section are required.


    Banking Information
    Please fill in all relevant fields.

    How you would like your invoice(s) settled:

    Please upload an image of a void cheque, if available.

    Acceptable file types are pdf, jpg, gif, or png.

    Do you have any comments?

    Please sign below using a mouse or touch pad


    Type signature: