Debit order form

Authority and Mandate for payments Instruction

Abbreviated Name as Registered with the Bank: SASCOOTER

This signed Authority and Mandate refers to our contract dated (“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 commencing on today 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.

The individual payment instructions so authorised to be issued must be issued and delivered as follows: monthly

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

No payment will be due in December. Final Xmas layby payments will be 1 November.

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 cancel the Layby Agreement at a cost of 1% Layby restocking fee, plus R400 Debit order cancellation fee.

Failed payments
I/We agree that if any debit order is failed due reasons from my bank/funds, I agree to pay an admin fee R120 will be debited during the next months debit order run. The failed catch up payment will be made within the next 48 hours by means of EFT or bank deposit. I payment is not made, I agree to extend the layby terms by another month.


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.

Order details :

Bank Details :


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