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Personal Details:

Debit Details:

I hereby request and authorise Azapi to draw against my account the full amount necessary of R549p/m including VAT, in respect of this agreement, with the above mentioned bank, on the first working day of each month. All such withdrawals from my account by Azapi shall be treated as though they had been signed by me personally. I the undersigned "instruct" and authorise Azapi’s agent Netcash (Pty) Ltd, to draw against my account.

I understand that if bank details have been supplied the withdrawals authorised 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, rejection fees, relating to this debit order instruction.

I hereby agree to the aforementioned
And accept the debit order


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