I/we hereby request and authorise you to draw against my/our account with the abovementioned bank (or any other bank or branch to which I/we may transfer my/our
account) any variable amount pertaining to this agreement on the first working day or middle of each month for Resellers and VISP agreement clients. This being the
amount necessary for the settlement of the monthly due to you in respect of my/our account with 25am, trading as Jetweb.
All such withdrawals from my/our account by you shall be treated as though they had been signed by me/us personally.
I/we the undersigned, “instruct” and authorise your agent to draw against my/our account. I/we understand that if bank details have been supplied the withdrawals authorized
here will be processed by Standard Bank. I/we also understand that details of each withdrawal will be printed on my/our statement.
I/we understand that failed debit orders will incur a charge of R50 (incl. VAT), refer to INSERT TERMS AND CONDITIONS LINK.
I/we agree to pay any banking charges relating to this debit order instruction. This authority may be cancelled by means of giving you notice in writing, but I/we understand
that I/we shall not be entitled to any refund of amounts, which you have withdrawn whilst this authority was in force if such amounts were legally owing to you.
I/We warrant that I/we are duly authorised to complete and sign this form as the account holder/s or legal representative/s.
ASSIGNMENTI/We acknowledge that the party hereby authorised to effect the drawing(s) against my/our account may not cede or assign any of its rights and that I/we may not delegate
any of my/our obligations in terms of this contract/authority to any third party without prior written consent of the authorized party.
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