Panel Application
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Bank Details - Debit Order Authorisation Form
I/we hereby authorize you to debit my/our account with the above mentioned banking details (or any other bank or branch that I/we may change to) the sum of R500 pertaining to the use of the Instant Estimator service, on the last working day of each month. This sum being the amount for settlement of the monthly due by you in respect of subscription and access to www.instantestimator.co.za as from the date this application is completed. I/we hereby authorize your agent MyGate Communications (Pty) Ltd to debit my/our account on your behalf. This debit order agreement may be cancelled by giving sixty days written notice in writing but I/we understand that any amounts withdrawn while this agreement was in force is owing. I/we hereby agree that the party hereby authorized to debit my bank account may not cede or assign any of its rights and that I/we may not cede any of our obligations in terms of this debit order instruction to any third party without prior written consent of the authorized party. The application does not guarantee the availability of the selected area.
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