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7 Steps To Your Own Website!

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    Thank you for trusting Storm Business Solutions with your website requirements. Please fill in our secure Debit Order Form below. The form is a legal documentation that you are undertaking with Storm Business Solutions.
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    First Name*
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    ID Number*
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    Cel. Number*
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    Surname*
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    E-Mail Address*
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    Please enter your bank details below:
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    Account Holder*
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    Account Number*
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    Account Type*
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    Debit Amount*
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    Bank Name*
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    Branch*
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    Branch Code*
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    I hereby request and authorize Storm Business Solutions to draw against my account with the above mentioned bank, the sum I have entered above from the end of the next invoice due date, and every consecutive month thereafter pertaining to this agreement, on the first working day of each month. This being the amount necessary for the monthly due to you, for us using your website services. All such withdrawals from my account by you shall be treated as though they had been signed by me personally.

    I. the undersigned "instruct" and authorize your agent, Netcash (Pty) Ltd, to draw against my account. I understand that if bank details have been supplied the withdrawals authorized here will be processed by BankServ. I also understand that details of each withdrawal will be printed on my statement.

    I agree to pay any banking charges relating to this debit order instruction.
    This authority may be canceled by means of giving you thirty days notice in writing, sent by prepaid registered post, but I understand that I shall not be entitled to any refund of amounts, which you have withdrawn whilst this authority was in force, if such amounts were legally owing to you as per the agreement that this debit order serves..

    Assignment:

    I acknowledge that the party hereby authorized to effect the drawing(s) against my account may not cede or assign any of its rights and that I may not delegate any of my obligations in terms of this contract/authority to any third party without prior written consent of the authorized party.
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    I acknowledge that all above information is true and correct, and I understand that I am entering into an agreement with Storm Business Solutions. I have read and I accept all the details above.
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    I am authorizing Storm Business Solutions to debit my bank account on the 1st of each month with the amount I have entered above!
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    I agree to Storm Business Solutions Hosting and Website Design Terms and Conditions.
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    Please Type The Code As Displayed:

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