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Website Design
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FAQ
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Webfast Affiliate
044 001 1933
044 001 1933
sales@webfast.co.za
sales@webfast.co.za
Debit Order Form
Name of Account Holder:
ID Number/Registration Number:
Contact Number:
Address:
Hidden
Bank details
Bank Name:
Branch:
Branch code
Account Number
Type of account (Current/Savings/Transmission):
Current
Savings
Transmission
Amount:
Abbreviated Shortname as registered with the acquiring bank:
Refer to our Contract Reference Number:
I/We hereby authorise
T S Sandeman t/a Web Fast Tech
to issue and deliver payment instructions to your banker for collection against my/our abovementioned account at my/our abovementioned bank on condition that the sum of such payment instructions will not differ from my/our obligations as agreed to in the Contract Reference Number.
The individual payment instructions so authorised must be issued and delivered on the date when the obligation in terms of the Agreement is due and the amount of each individual payment instruction may not differ as agreed to in terms of the Agreement.
I/we agree that the first payment instruction will be issued and delivered on __________
and thereafter regularly on the __________ of each month
If however, the date of the payment instruction falls on a non-processing day (weekend or public holiday) I agree that the payment instruction may be debited against my account on the
following business day
; or subsequent payment instructions will continue to be delivered in terms of this authority until the obligations in terms of the agreement have been paid or until this authority is cancelled by me/us by giving you notice in writing.
B. MANDATE
I/we acknowledge that all payment instructions issued by you shall be treated by my/our abovementioned bank as if the instructions had been issued by me/us personally.
C. CANCELLATION
I/we agree that although this authority and mandate may be cancelled by me/us, such cancellation will not cancel the Agreement. I/we also understand that I/we cannot reclaim amounts, which have been withdrawn from my/our account (paid) in terms of this authority and mandate if such amounts were legally owing to you.
D. ASSIGNMENT
I/We acknowledge that this authority may be ceded or assigned to a third party if the Agreement is also ceded or assigned to that third party.
Signed at __________
on this __________
Day of __________
20 ___
SIGNATURE AS USED FOR OPERATING ON THE ACCOUNT
(Required)
Timothy Sandeman
Sales Director
Tim
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