Instructions

To help you fill out the form

Time required to fill out the application:
Between 5 and 10 minutes.
Processing time:
Follow-up within 48 hours (business days) of your application.
Information required:
  • Personal information.
  • Account information.
  • Payment terms.
  • Copy of a personal cheque from your financial institution clearly marked VOID.
Tip:
  • Print all the information in uppercase letters.
  • Be sure to complete all sections of the form.
  • Check off your choice of payment option.

See the example below to complete the sections for "Transit" and "Chequing account number".
Send your application and copy of your cheque to:
  • By fax
    Montreal area: 514-397-0404
    Elsewhere in Canada and the US: 1-888-875-0444
  • By mail
    Desjardins Card Services (VISA)
    P.O. Box 11072 Station Centre-ville,
    Montréal (Québec) H3C 5B1

Continue application
 Continue application (in PDF format, 76 KB)

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Money working for people

Les grands prix Québécois de la qualité - Grand Prix 2007