Get Eyesurf

Filling out the Eyesurf Payor's Pad Agreement online is a straightforward process that ensures your payments are managed efficiently. This guide provides step-by-step instructions to help you complete the form accurately.

Follow the steps to complete the Eyesurf form online.

1. Click the 'Get Form' button to access the Eyesurf form and open it in the editor.
2. Begin by filling out the Payor Information section. Clearly print your full name(s), address, and telephone number in the designated fields.
3. In the Payor Financial Institution/Banking Information section, input your branch number, institution name, account number, and the address of your financial institution.
4. Proceed to the Payee Information section and fill in the name and address for Eyesurf, including the telephone number and email provided.
5. In the Payment Information section, choose whether your payment will be a fixed amount or a variable amount by checking the appropriate box. Specify the occurrence of the payments.
6. Indicate if adjustments are permissible by selecting 'Yes' or 'No.'
7. Review all information for accuracy and ensure you have signed the Terms and Conditions provided in the document.
8. Return the completed form along with a blank cheque marked VOID to the designated address of Eyesurf, or you may choose to email the completed document.
9. After sending the form, consider saving a copy for your records, and if necessary, download or print the completed document for future reference.

Complete your Eyesurf document online today to simplify your payment process.