EFT/EDI/ACH Enrollment Form

Add Banking Info * Name: * Address: * P.O. Box Number/Station Number (If applicable): * City: * Postal Code/Zip Code: * Phone Number: * A/R Manager or Controller Name: * Province/State: * Country: * Fax Number: * A/R Manager or Controller E-mail: Delete Banking Info

AP9088 (Rev. Mar-2012) A.B

NOTE: PLEASE FILL THE FORM IN CAPITAL LETTERS; FIELDS MARKED WITH * ARE MANDATORY FIELDS Modify Banking Info

VENDOR INFORMATION

ELECTRONIC FUNDS TRANSFER AUTHORIZATION

I authorize the payment of invoices by the electronic funds transfer payment (EFT/ACH) option with remittance advice detail via email. E-mail address (for remittance advice)*:

* Signature of Authorized Individual ( Form has to be signed to be processed) * BANK Canadian Bank (specify currency): Account Number: Bank Transit Number: Bank Number: 0 * Bank Name: * Bank Address: * City: Bank Contact Name: * Province/State: Phone Number:

* Name (Printed) * Date (dd/mm/yyyy) * Title

INFORMATION (Only for CAD & USD payments)

CAD USD Account Number: (Please specify): ABA Routing Number: US Bank US currency USD Currency
(Other than CAD/ USD)

Please complete bank information section below and attach void cheque OR letter from the bank

Note: Vendors are responsible to notify TELUS of any changes to banking information.

* Postal Code/Zip Code: Fax Number:

* Country:

Please email or fax completed and authorized form with void cheque to: Email: VendorMaster@TELUS.com Fax: 780 493-8084 EFT/EDI Enrollment Administration TELUS Accounts Payable Box 1830, Edmonton, Alberta T5J 2P2