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Debit Order Instruction

Name (Debtor): Date:
E-mail: Amount: R  . 
The details of my/our bank account are as follows:
Bank:   
Branch/Town:   
Branch No.:   
Account Name:
Account No.:   
Type of A/C:

I/we hereby request and authorise Soundalite cc t/a Artslink.co.za 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) the sum of (state amount in words) or any variable amount pertaining to this agreement, on the first working day of each and every month. This being the amount necessary for the payment of the monthly subscription due to Soundalite cc t/a Artslink.co.za in respect of our subscription/s.

All such withdrawals from my/our bank account by Soundalite cc t/a Artslink.co.za shall be treated as though they had been signed by me/us personally.

I/we the undersigned, "instruct" and authorize Soundalite cc t/a Artslink.co.za's agent NetCash (Pty) Ltd, to draw against my/our account with the abovementioned bank, I/we understand that the withdrawals authorized here will be processed by BankServ and I/we also understand that details of each withdrawal will be printed on my/our bank statement.

I/we agree to pay any bank charges relating to this debit order instruction.

This authority may be cancelled by means of giving Soundalite cc t/a Artslink.co.za thirty days notice in writing, sent by prepaid registered post, but I/we understand that I/we shall not be entitled to any refund of amounts, which Soundalite cc t/a Artslink.co.za have withdrawn whilst this authority was in force if such amounts were legally owing to Soundalite cc t/a Artslink.co.za.

Assignment:
I/We acknowledge that the party hereby authorized to effect the drawing(s) against my/our account may not cede or assign any of its rights to any third party without my/our written consent 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.


Signed ________________________________________ on this of

SIGNATURE AS USED FOR SIGNING CHEQUES




Click here to print, check, sign and please fax to 011 388 1045.

























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