I, the cardholder of the payment card designated above, authorize Allstate Insurance Company of Canada ("Allstate") and its affiliates and the payment card issuer to charge the payment card or the card that I, or my payment card issuer, replace it with.

Allstate will retain my payment card details for as long as the above policy remains in effect or until I contact Allstate to arrange an alternate method of payment. I understand that my payment card issuer can supply Allstate with updated expiration date and/or card number, however it is my responsibility to update Allstate when the card and/or expiration date on the card changes.

If a charge is returned unpaid and payment is not made, Allstate will issue a cancellation notice for non-payment of premium and initiate an amount owing status on the policy. I have the valid payment card listed above and for all charges have available credit or cash to accept such charges.

Charges to the monthly payment plan shall be initiated by Allstate to pay premium, other charges and fees, including, if applicable, any fee charged after the policy’s termination effective date, for, or as associated with, the above listed policies or other policies as authorized, and the charge entries shall constitute my receipt for the transaction(s). No payment to Allstate shall be deemed to have been made unless and until Allstate receives payment. I also understand that if corrections to charges are necessary, it may involve an adjustment to the monthly payment plan. I understand the charge to my payment card of the billing schedule amount will be charged on or after the premium due date indicated on the schedule and that I should continue to pay any bills I am sent prior to receiving the schedule. I understand that Allstate can create a one-time charge at my authorization.

I understand that I will thereafter be sent a payment schedule only at renewal or if the premium amount changes during the policy period. Allstate reserves the right to refuse or terminate automatic payment services.

This agreement is to remain in effect until Allstate terminates it or until I contact my Allstate agent or call 1-800-Allstate (1-800-255-7828) to request termination. Allstate may require up to five (5) business days to act on my request. Should a policy or monthly payment plan be subsequently offered by an affiliate company of Allstate, I understand this agreement will remain in effect unless I notify Allstate directly in writing of termination. Allstate will notify me in writing of any changes to this agreement.