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This process is sure to help you tremendously in the administration of your accounting, and allow for the totally uninterrupted service you expect, as well as the prompt sending of passwords. Our planned date for the implementation of the debit order system is 2 April 2004, and on the closest working day around the 2nd of each month thereafter for the amount of R 456.00. We would be grateful if you could complete this documentation and fax to us as soon as possible. DEBIT ORDER INSTRUCTION Name(Debtor):_____________________ Date : ______________________ Address :_____________________ A4 Reference No. : ______________________ :_____________________ Debit Amount : R 456.00 incl. V.A.T. Dear Sirs/Madams The details of my bank or credit card account are as follows: BANK :________________________ CARDHOLDERS NAME : ____________________________ BRANCH/TOWN :________________________ CARD NUMBER : ____________________________ BRANCH NO. :________________________ EXPIRY DATE : ____________________________ ACCOUNT NAME :________________________ CARD TYPE : ____________________________ ACCOUNT NO. :________________________ (Master card, Visa, American Express, Diners Club) TYPE OF A/C :________________________ (Savings, Current(Cheque), Transmission) I/we hereby request and authorise you 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 four hundred and fifty six rand or any variable amount pertaining to this agreement, on the first or second working day of each and every month. This being the amount necessary for the payment of the monthly payment due to you in respect of our A4dable contract. All such withdrawals from my/our bank account by you shall be treated as though they had been signed by me/us personally. I/we the undersigned, "instruct" and authorise your agent, to draw against my/our account with the abovementioned bank, I/we understand that the withdrawals authorised 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 you 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prepaid registered post, but I/we understand that I/we shall not be entitled to any refund of amounts, which you have withdrawn whilst this authority was in force if such amounts were legally owing to you. Assignment: I/We acknowledge that the party hereby authorised 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 authorised party Signed ___________________________ on this _________ day of 2004 SIGNATURE AS USED FOR SIGNING CHEQUES GR S PO Box 3202, Knysna, 6570 7 Queen Street Office Tel/Fax: +27 44 382 2200/09 Email: info@grs.co.za Website: http://www.grs.co.za GARDEN | ROUTE | SOLUTIONS -xY LUB]^a K]Q@,K9ŕ=̴FiYԙt>2efa-lV^(JMm޸rO޾w~{Di/ň,4Y4 άS I3rg2d=M+e)u_&앞zj'l{{]."mt[$=F/I [o/5ʷC(kSttdkJ^ެ  &K4hT36 mo{F:c)~; 7 uSތ}2Hצg[&51HM#?ENboREUOzR$\KpZLGnLƚ|'AW }2Qr ]*z \9j/hLHP< ́t@68tTq_]@@oL >ASۑ6$}.u&tXM Eu0s.ir);f n.@Ut >t&B^h/*.4ݡc&$w⥝*{=u)jo5vA_@{Lgt@y2s0Xp8Ns>_v<3[ƤP;ЇO·0.mx>{`.XЇ0O_c R67 |fWg>p< @?TK<[|y7*zȸ{A?暍uٓdUe_g ?b;vW6YpM3?(~6Ο3{>fc~-kθlyW'a=`Ζ<ùȶ#6X?k?L98_Qޙ<YrfmCN"N&䱀O=z%{ ,|)(J%w9ǬA`gLMC?g$iRНa1uYxYT;X rOY^\@?^~wCw .W}꘎VŞ;8g&l,&N&";$w=<ޣl\.-6IŸ|v|tٹRyN֌gމ9Η?#'?]hNG7<u~2t\ ~3vCeM֎s_kYۧ3fKkv;c?-q4|k1H[#q3vDbxCcƹw p'N;w pN[;w p'N;lS?iMicrosoft Office Document Image Writer 11.03.1897.00 2004:03:04 11:40:18  / ///(16E2RE/ /0PF1d=ࡱ> Root Entry.NdqrvorsQblcu4szKeiub3mf2g8..CONTENTSprop2 # mX]0,Å :+0h08@T B prop2B prop3dhvlDICTw 0v vVyOOh0@(08 Oh+'0l0prop3 AuvsxjatP0udblw1Aaq5eubr5h8..CONTENTSpSummaryInformation(..CONTENTS8@d Rudi Westraaddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddd