Three-Seater Couch

Fillup this form to add to our doner list. 

I/We hereby authorize you to draw against my/our account with the above-mentioned bank (or any other bank or branch to which I/We may transfer my/our account) the amount necessary for the payment of the monthly/quarterly/annual commitment due in respect of the installment/premium as agreed. All such withdrawals from my/our bank account by you shall be treated as though they had been signed by me/us as personally.

I/We understand that the withdrawals hereby authorized will be processed by computer through a system known as the BankServ Magnetic Tape Service and I also understand that details of each withdrawal will be printed on my bank statement of on an accompanying voucher.

I/We agree to pay any bank charges relating to this debit order instruction.

This authority may be canceled by me/us by 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by prepaid registered post, but I/We understand that I/We shall not be entitled to any refund of amounts which you have withdrawn while the authority was in force if such amounts were legally owing to you.

Assignment:
I/We acknowledge that Anchor of Hope Ministries hereby authorized to effect the drawing(s) against my/our account may not cede or assign any of it’s rights to any third party without my/our prior written consent and that I/we may not delegate any or my/our obligations in terms of this contract/authority to any third party without prior written consent of the authorized party. Receipt of this instruction by you shall be regarded as receipt thereof by my/our bank (whichever it is or will be)