Debit Order

Kreativworx - Debit Order Form
(Note: Kreativworx (PTY) LTD debit orders are handled by NETCASH) Authority and Mandate for payments Instruction: Electronic Mandates

*Compulsory Company Information
eg. www.mybusiness.com
If Private, just type Private
Name:(Required)
MM slash DD slash YYYY

Debit-Order Information
Bank account details

Name of Account Holder
Bank Name:(Required)

Type of Account:(Required)

What date do you prefer for the deduction:(Required)

Abbreviated Name as Registered with the Bank: KREATIVWRX

This signed Authority and Mandate refers to our contract dated on this form (“the Agreement”). I / We hereby authorise you to issue and deliver payment instructions to your Banker for collection against my / our above mentioned account at my / our above-mentioned Bank (or any other bank or branch to which I / we may transfer my / our account) on condition that the sum of such payment instructions will never exceed my / our obligations as agreed to in the Agreement and continuing until this Authority and Mandate is terminated by me / us by giving you notice in writing of not less than 20 ordinary working days, and sent by prepaid registered post or delivered to your address as indicated above or by e-mail.

The individual payment instructions so authorised to be issued must be issued and delivered as follows: Monthly or as discussed and agreed.

In the event that the payment day falls on a weekend, or recognised South African public holiday, the payment day will automatically be the preceding ordinary business day.

If any other service costs for e.g. changes, maintenance to the website or requests of “tickets” related to the website are due for your account, this amount will be added to the total on your invoice. Kreativworx will send you an invoice between the 20th and the 25th of each month for the amount that will be debited on the next debit date. Please make sure that the amount on the invoice is correct, as this will be the amount that will be debited from your account. If the bank, for any reason, send back a debit transaction, a 10% admin fee of the invoice amount, will be for your account on the next debit deduction. If the amount debited from your account is wrong, the correction will reflect on the next withdrawal. All such withdrawals from my/our account by Kreativworx shall be treated as though they had been signed by me/us personally. Payment Instructions will be deducted as per date indicated above against my account.

I / We understand that the withdrawals hereby authorized will be processed through a computerized system provided by the South African Banks and I also understand that details of each withdrawal will be printed on my bank statement. Each transaction will contain a number, which must be included in the said payment instruction and if provided to you should enable you to identify the Agreement. A payment reference is added to this form before the issuing of any payment instruction.

Mandate I / We acknowledge that all payment instructions issued by you shall be treated by my / our above-mentioned Bank as if the instructions have been issued by me/us personally. 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 shall not be entitled to any refund of amounts which you have withdrawn while this Authority was in force, if such amounts were legally owing to you. 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, but in the absence of such assignment of the Agreement, this Authority and Mandate cannot be assigned to any third party.

Consent(Required)
Signature as used for operating on the account
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