We have received your stop payment request. Please review the following information and acknowledge your acceptance by clicking on "I Agree".

Stop Payment Disclaimer and Indemnity

I have instructed CCS to stop payment of an item drawn on my account, particulars of which I have provided online. These instructions will become effective on the date I have electronically authorized this form. If the item has already cleared my account these instructions are invalid.

I acknowledge that CCS will make every reasonable effort to effect the instructions given, but will not be liable to me or any other person by reason of complying with, or failing to comply with, the instructions for any reason.

I agree to indemnify CCS against all liability and expenses (including legal costs) CCS may incur in complying with these instructions.

In confirming below, I acknowledge and agree that even though a stop payment has been placed, I continue to have certain responsibilities in relation to the payment in question, and I am liable to any Holder in Due Course as defined under the Bills of Exchange Act. The stop payment will also be subject to the Rules and Regulations of the Canadian Payment Association.

These instructions will remain in effect from today's date until one year past the cheque date that I have provided, unless I advise CCS in writing.

If you do not agree, we will be unable to process your request and no changes will be made.