Across U-Can Youth Award Cash Prize Claim Form)

Across U-Can Youth Award - Cash Prize Claim Form

Congratulations! As a recipient of Across U-Can Youth Award, you will receive $500.00 cash prize as a small token of encouragement. To claim this prize, please complete the following form. Once verify your identity and information, your cash prize will be directly deposited to your bank account.

Name of the Awardee*
First Name Last Name
Phone*
Email*
Enter Email Confirm Email
Address*
Street Address City Province Postal Code
Please indicate the category of your Across U-Can Youth Award:*
- GROW Award
- BUILD Award
- BRIDGE Award
The $500 cash prize will be deposited directly into the awardee's bank account.*
- I hereby authorize Across U-hub to deposit the $500 cash prize to the bank account listed below.
Banking Information
Please click here if you have troubles identifying the institution number, transit number and bank number.
Name of Account Holder*
Institution Number*
Transit Number*
Account Number*
Upload a VOID Cheque for Direct Deposit
Please attach a "VOID" cheque with the application to authorize an electronic funds transfer request.

Tel:	+1 (905) 944-1944
Fax:	+1 (905) 944-1950
E-mail:	[email protected]
Address:	232 Hood Road, Markham, Ontario, Canada, L3R 3K8 (map)
Hours:	Monday-Friday: 10:00 AM-6:00 PM

Across U-Can Youth Award - Cash Prize Claim Form

Banking Information