Saheti Alumni Association: Debit Order Mandate

THE SAHETI ALUMNI SUPPORT FUND PRESENTS THE SAHETI ALUMNI CHALLENGE
In 2015, the SAHETI Alumni Association launched the SAHETI Alumni Support Fund, a fund dedicated in providing bursaries and scholarships to deserving children of the Alumni who are in financial need. The aim is to continue to raise funds for this worthy cause thereby giving the opportunity to children of the Alumni to remain at SAHETI or attend SAHETI.
The SAHETI Alumni support fund is a fund which appeals to all Alumni, friends and family of SAHETI across generations to support and make the continued education of children of Alumni who need help possible.
Authority given by:
Name*
Title First Last
ID Type*
- RSA ID
- Other
ID Number*
Other ID*
Landline Number
Work Number
Cellphone Number*
Email Address*
Find address using Google Maps
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Payment Method
Bank account details:
Bank*
Branch code*
Account number*
Type of account*
Credit card details:
Credit Card*

MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
Agreement:
Abbreviated short name as registered with the acquiring bank: SAHETI
Refer to our contract reference number (“the Contract Reference Number”):
Reference*
Contract amount*
Start date for first debit to my account*
Date Format: DD slash MM slash YYYY
and thereafter regularly on the:
Monthly debit order day*
Beneficiary’s address: SAHETI Alumni Office, SAHETI School, The Pouroulion Building, Civin Drive, Senderwood Bedfordview.
I hereby authorise you to issue and deliver payment instructions to your banker for collection against my above mentioned account at my above mentioned bank (or any other bank or branch to which I may transfer my account) on condition that the sum of such payment instructions will never exceed my obligations as agreed to in the donation agreement and commencing on the payment date as selected above and continuing until this authority and mandate is terminated by me by giving you notice in writing of not less than 20 ordinary working days, and sent by email.
I understand that the withdrawals hereby authorised will be processed through a computerised system provided by the South African Banks and I also understand that the details of each withdrawal will be printed on my bank statement. I understand that my bank will apply charges at their ruling rates for unmet transactions. I also understand that any banking fees incurred by the Saheti Alumni Association may be recovered of unmet transactions.
If the payment day falls on a Saturday, Sunday or recognised South African public holiday, the payment will automatically be processed the next ordinary business day.
ASSIGNMENT
I acknowledge that this authority may be ceded or assigned to a third party if the Agreement is also ceded or assigned to that third party, but in the absence of such assignment of the Agreement, this Authority and Mandate cannot be assigned to any third party.
CANCELLATION
I agree that although this Authority and Mandate may be cancelled by me, I shall not be entitled to any refunds of amounts which you have withdrawn while this authority was in force if such amounts were legally owing to you. I understand that cancellations may only take effect a month later.
Keeping you informed is important to the SAHETI ALUMNI ASSOCIATION. We like to let our supporters know what their donations are helping to achieve for children, by sharing news of our work.
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Signature*
Signature verified by Bank

E-Mandate

Electronic debit order mandates for your business.

(LS) #49 SH001 – SAHETI ALUMNI ASSOCIATION

Authority given by:

Bank account details:

Credit card details:

Agreement:

ASSIGNMENT

CANCELLATION