Debit Order Form Debit Order Form Don’t worry our website plans are month 2 month. NO CONTRACTS! Once You Sign Up Check Your Mailbox. We Sent You Some Exciting Information. We Super Excited To Get Started To Build Your Brand. Name & Surname Business Name Email Mobile Domain Name Monthly Website Plan Bank Name Account Holder Name Bank Account Number Account Type Select Account Type Cheque Savings Transmission Day Of Debit Select Day Of Debit 1st 15th 25th Select Website Options Choose Website Option Website Micro Plan - R129pm (1 Page) Website Starter Plan - R199pm (3 Pages) Website Budget Plan - R299pm (6 Pages) Website Executive Plan - R549pm (18 Pages) E-Com (Online Store) Micro R299pm + R2499 (Once Off) E-Com (Online Store) Starter R499pm + R2499 (Once Off) E-Com (Online Store) Budget R699pm + R2499 (Once Off) E-Com (Online Store) Executive R1699pm + R2499 (Once Off) Debit Order Acceptance Do you authorise Website Rental to issue and deliver payment instructions to your Bank for collection against your Bank account on condition that the sum of such payment instruction will never exceed your obligations as agreed in your agreement? This method will commence effective from the activation of your Service, for the initial upfront charges and monthly subscription, on the 1st of each month and will continue monthly, or the Authority and Mandate is terminated by yourself by giving us notice of not less than one month. In the event that the payment day falls on a Sunday or recognised South African public holiday, the payment day will automatically be the very next ordinary business day. This Authority and Mandate may be cancelled by you however; such cancellation will not cancel this Agreement. You shall not be entitled to any refund of amounts which we may have withdrawn while this Authority was in force, if such amounts were legally owing to us. Abbreviated Name as Registered with the Bank: WEBSITEREN. I hereby confirm that I have read & understood the debit order mandate, and authorise Website Rental to draw on my account on the monthly billing date for the product that I have selected. Submit