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continuing until termination of our agreement or until canceled by me/us in writing. All such withdrawals  

from my/our bank account by you shall be treated as though they had been signed by me/us personally.  

Receipt of this instruction by you shall be regarded as receipt thereof by my/our bank.  

I/We understand that the withdrawals hereby authorized will be processed by Platinum Ads, I also  

understand that details of each withdrawal will be printed on my bank statement.  

I/We agree to pay any bank charges relating to this debit order instruction. If your Debit order fails through the bank a R45.00 fee will apply  

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you have withdrawn while this authority was in force, if such amounts were legally owing to you.  


I/We acknowledge that the party hereby authorized to effect the drawing(s) against my/our account

may not cede or assign any of its rights to any third party without my/our prior written consent and that  

I/we may not delegate any of my/our obligations in terms of this contract/authority to any third party

Without prior written consent of the authorized party.  

Please enter your Company logo for the design Please enter more details of your company for your page Please enter your Pricelist or Specials in JPG form

I/We hereby instruct and authorize "the company" 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  

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