DEBIT ORDER AUTHORISATION AGREEMENTDebit Order Authorisation Agreement • September 27th, 2011
I, the authorised signatory, warrant that I am duly authorised to sign this Debit Order Authorisation Agreement and by my signature hereto, confirm that I shall have no claims against Focus on Health (Pty) Ltd arising out of this debit order authorisation. I understand that in the event that any debit order due in terms of this Debit Order Authorisation is rejected by my bank, all related bank rejection fees and the full amount of the initial balance that remains unpaid, will be due and payable immediately. An administration fee of R10 per rejected debit order will be charged on the account of the subscriber.
Kindly note that all debit order agreements must be accompanied by a copy of a blank cancelled cheque.Debit Order Authorisation Agreement • April 13th, 2015
- warrant that I/we are duly authorised to sign this Agreement and by my/our signature hereto, confirm that I/we shall have no claims against S age Pastel arising out of this Agreement
REP CODEDebit Order Authorisation Agreement • May 29th, 2007
I/We, the authorised signatory/ies, warrant that I/we are duly authorised to sign this Debit Order Authorisation Agreement and by my/our signature hereto, confirm that I/we shall have no claims against Softline (Pty) Ltd arising out of this debit order authorisation.
