Bank Debit Order Instruction

Dear Sirs/Madams
The details of my/our account are as follows:

This signed Authority and Mandate refers to our contract as dated as on signature hereof ("the Agreement"). I / We hereby authorise you to issue and deliver payment instructions to the bank for collection against my / our abovementioned 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 the commencement date and continuing until this Authority and Mandate is terminated by me / us by giving you notice in writing of no less than 20 ordinary working days, and sent by prepaid registered post or delivered to your address indicated above.
The individual payment instructions so authorised to be issued must be issued and delivered as follows

DEBIT ORDER COMMENCEMENT
On the above selected day of each and every month. In the event that the payment day falls on a Saturday, Sunday or recognized South African public holiday, the payment day will automatically be the very next ordinary business day.
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. I / We shall not be entitled to any refund of amounts which you have withdrawn while this authority was in force, if such amounts were legally owing to you.

MANDATE
I / We acknowledge that all payment instructions issued by you shall be treated by my/our above mentioned bank as if the instructions had 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 I / We shall not be entitled to any refund of amounts which you have withdrawn while this authority was in force, if such amounts were legally owing to you.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 to 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.

NOTIFICATION TO THE DATA SUBJECT WHEN SUPPLYING PERSONAL INFORMATION
The data subject (client/consumer) must note that all the information supplied to the responsible party (Rapid Networks (Pty) Ltd t/a Rapid Networks; Windstone Farm, Vredenburg) will be recorded and processed regardless of form or medium in which the information was supplied.
Personal information is collected to enable Rapid Networks (Pty) Ltd t/a Rapid Networks to deliver a service to its clients/customers and for billing purposes (where applicable).
The personal information supplied is mandatory and if applicable is authorized or required by the Protection of Personal Information Act. The data subject has the right at any time to rectify the personal information collected, object to the processing of personal information (subject to legislation) and to lodge a complaint at the Information Regulator.

I/We hereby acknowledge that the information provided is true and correct. I/We further proclaim that I/We shall in no way hinder the process of such said payments. I/We further confirm that I/We have read and understood the Rapid Networks terms and conditions of service as set out in the Rapid Networks Acceptable User Policy which can be found on the Rapid Networks Website, being subject to change from time to time. I/We realise that should I/We breach this agreement in any way, Rapid Networks are entitled to suspend my services and/or cancel this agreement with immediate effect.