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Canadian Retransmission Collective

in cooperation with Convera

Canadian Retransmission Collective (CRC) has instituted an electronic royalty payment program in cooperation with Convera. Rather than cheque payments, participating rights holders now receive payment through an electronic transfer directly into their bank accounts.

By completing and submitting this request form you agree to the terms.

If questions arise while completing this request form which are not addressed by the FAQ , please work directly with your bank to ensure all required fields are accurate. You may also contact the Convera Global Pay Customer Service center via VendorManagement@convera.com.

IMPORTANT NOTE : You will receive a confirmation email once a payment has been made to the bank account you have provided. Please note that entering incorrect account information may result in a delay or loss of funds. If account information is entered incorrectly, you must notify Canadian Retransmission Collective, Affiliate Relations at E-bank-banque@crc-scrc.ca as soon as possible.

By completing and submitting this request form you are participating in this electronic royalty payment program, you (whether on your own behalf or on behalf of a corporation or other legal entity that you represent) (collectively, “you”) agree, represent and warrant that:

All information you provide to CRC or Convera or their affiliates is and will remain true, complete, current and accurate;
You, and not CRC, Convera or their affiliates, will be fully responsible for any erroneous, incomplete, outdated or inaccurate information you provide in respect of this program and agree to irrevocably waive and release CRC and Convera in respect of any payments submitted using erroneous information entered by you; and
You have the necessary rights and authority to bind yourself and any corporation or other legal entity whom you represent to these terms and conditions.

You also hereby agree to at all times indemnify and save harmless CRC, Convera and their directors, officers, employees, affiliates, agents and service providers from and against all costs, expenses, losses, liabilities and damages directly or indirectly arising from the breach of any of the foregoing representations, warranties and covenants.

In addition to the foregoing, you hereby agree to promptly reimburse CRC for any erroneous payment, distribution or transfer of funds. Without limiting any other right or remedy that CRC may have, you agree that CRC may, at its option and without notice to you, set off any Royalty distributions to us against any funds that CRC erroneously paid to you that have not been fully reimbursed by you.

Convera is a service provider to CRC and not a service provider to you. Convera will only act on payment instructions from CRC and will not act on your payment instructions. Convera shall have no liability for any damages whatsoever resulting from your participation in the electronic royalty payment program. Convera makes no representations, warranties of any kind, whether express or implied.

* Indicates a required field

CRC Affiliate ID

Enter your CRC Affiliate ID 5 (five) digit number as found in CRC’s bank enrollment request email

Bank Country

Select the country in which your bank branch is located.

Bank Account Name

Enter name of bank account holder. Note Name must exactly match CRC Affiliate Name and the name on the bank account. Please contact your bank if unsure.

Bank Name

Enter name of your bank. Please contact your bank if unsure.

Account Number

Enter Account number. Please contact your bank if unsure.

IBAN

Enter your IBAN. If this number is entered incorrectly, we will be unable to make payment. Please contact your bank if unsure.

Routing Code

Enter Routing Code. Please contact your bank if unsure.

ACH/ABA/RTN

Enter 9 digit ACH/ABA/RTN Code. Please contact your bank if unsure.

IFSC Code

Enter IFSC code - visit Bank IFSC Code website, if not available enter Routing Code. Please contact your bank if unsure

BSB code

Enter 6 digit BSB Code. Please contact your bank if unsure.

Bank Code

Enter Bank Code. Please contact your bank if unsure.

Transit Number

Enter 4 digit Institution Identifier followed by 5 digit Branch Identifier. Please contact your bank if unsure.

Bank SWIFT Code or BIC

Enter your bank swift code. Search for your bank by visiting The Swift Codes

BIK

SKN code

Enter SKN. Please contact your bank if unsure

Individualniy Nomer Nalogoplatelshchika

Enter Individualniy Nomer Nalogoplatelshchika.

CNAPS

Enter CNAPS. Please contact your bank if unsure.

Tax Id

Enter Tax Id.

National ID Number

Enter National ID Number.

Registro Unico Tributario Number

Enter 9 digit Registro Unico Tributario Number.

Cedula De Ciudadania Number

Enter Cedula De Ciudadania Number.

Cedula Juridicia

Enter Cedula Juridicia.

Bank Address

Enter street address of bank branch. Please contact your bank if unsure.

Bank City

Enter City of bank branch. Please contact your bank if unsure.

State / Province

Select State/Province of your bank branch. Please contact your bank if unsure.

Bank Postal/Zip Code

Enter zip/postal code of your bank branch. Please contact your bank if unsure.

Payee Contact Details

Please provide your contact details below.

Country

Select Country of residence.

CRC Affiliate Name

Enter Company or other name as registered with CRC, and as found in CRC’s bank enrollment request email

For Canadian Corporations ONLY – CRA recipient identification number

Enter 15 characters – 9 digit business number, followed by 2 letter program identifier, and 4 digit reference number

Email Address.

Enter email address.

Address

Enter Street address of residence.

City

Enter City of residence.

State / Province

Enter state/province of residence.

Postal/Zip Code

Enter zip/postal code of residence.

Telephone (You may have to remove digits used for local numbers to match the template requirements.)

By submitting this form you are consenting to the Convera Privacy Statement.