Christel House SA: Debit Order Mandate

Electronic debit order mandate

OTP Verification
Authority given by:
I am donating as
- Individual
- Business
Name*
Title First Last
Business Name*
ID Type*
- RSA ID
- Other
ID Number*
Other ID*
Income Tax Number
Business Registration Number*
Email Address*
Cellphone Number*
Find address using Google Maps
Address*
Street Address Complex / Estate, Home Number & Internal Street City State / Province / Region ZIP / Postal Code Country
Bank account details:
Bank*
Branch Code*
Account Number*
Type of Account*
Agreement:
Abbreviated short name as registered with the acquiring bank: CHRISTEL H
Refer to our contract reference number (“the Contract Reference Number”):
Reference*
Lenght of donation*
- Monthly continuous
- 12 Months
Contract Amount*
This is the amount that will be donated to Christel House SA
Please enter a number greater than or equal to 100.
Monthly debit order date starting from*
Date Format: DD slash MM slash YYYY
Beneficiary's address: Christel House South Africa, Swallowcliffe Drive, Ottery, 7800 Telephone: +27(0)21 704 9400
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 AASA 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.
We would like to keep you informed on how your monthly giving is helping to transform lives through education and holistic support - which we do via our monthly newsletter.
Updates Subscription
- Please tick here to confirm you wish to receive communication from Christel House South Africa a few times a year. Please note, we will need to send you your tax receipt which is TAX deductible as well as regular updates on how your donation is helping to transform the lives of our students. https://sa.christelhouse.org/
Privacy Policy*
Website: https://sa.christelhouse.org/
On behalf of our students, families and the communities we serve, we would like to thank you for your monthly contribution.
If you have any questions or wish to make any changes to the information you have provided on this form, please email Christel House South Africa's Development and Partnerships Director, Lara Black: [email protected] or call 021 704 9407.
Christel House SA is a registered organisation (Registration No.: 2001/012349/08) and recognised as a Non-Profit (NPO No.: 017-044) and Public Benefit Organisation (PBO No.: 130 001 018).
We will safeguard any personal information acquired by us in connection with your use of this donor form or via electronic device by upholding the privacy principles and procedures set out below.
By signing the donor form or providing information via an electronic device, you are accepting the terms of this Privacy & Security Statement and you consent to the collection, processing, and storage of your personal information as contemplated in this Privacy & Security Statement.
The use and collection of private information
While we will retain certain personal information, we have collected only for as long as necessary given the purpose for which it was collected, we may store information for the purposes of transaction processing and administration. This is to reconfirm, as a subscribed donor you will continue to receive direct communications from Christel House SA in the form of monthly Campaign and Impact updates, Tax certificates, and more.
Sharing information
Christel House SA shall take all reasonable steps to protect the personal information of users. For the purpose of this clause, "personal information" shall be defined as detailed in the Promotion of Access to Information Act 2 of 2000 (PAIA).
Please visit our website for more detailed information about our privacy policy and PAIA manual: https://sa.christelhouse.org/privacy-policy/
Debit Order Cancellation
While we appreciate that unforeseen circumstances befall us all and you may wish to cancel your monthly donation with us. You may terminate your monthly donations with us by informing us one calendar month before the last day of your donation.
You can write an email Christel House South Africa's Development and Partnerships Director, Lara Black: [email protected] or call 021 704 9407.
- I accept this is a monthly debit order to my account.
Signature*
Signature verified by Bank

E-Mandate

Electronic debit order mandates for your business.

(LS) #** CRH001 – Christel House SA

Authority given by:

Bank account details:

Agreement: