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DEBIT ORDER Authorization AGREEMENT Entered into between Focus on Health (Pty) Ltd and the Subscriber I/We hereby authorize you to issue and deliver payment instructions to your banker for collection
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How to fill out debit order authorisation agreement

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How to fill out debit order authorisation agreement:

01
Start by obtaining a copy of the debit order authorisation agreement form from your bank or financial institution. This form is usually available on their website or can be obtained from a branch.
02
Fill in your personal details on the form, including your full name, address, contact number, and email address. Make sure to provide accurate information to ensure smooth processing of your debit order.
03
Specify the debit order details. This includes providing the name of the company or organization that will be debiting your account, as well as their contact information. You may also need to provide a reference or account number associated with the debit order.
04
Indicate the amount and frequency of the debit order. Specify whether it will be a fixed amount or if it will vary each time. You may also need to state if it will be a once-off payment or if it will recur on a specific schedule (e.g., monthly, quarterly, annually).
05
Ensure you read and understand the terms and conditions stated on the form. This will include important information such as your rights as a consumer, cancellation policies, and dispute resolution procedures. If there is anything you are unsure about, seek clarification from the bank or financial institution.
06
Carefully review the completed form to ensure all information is accurate and legible. If any mistakes or omissions are found, make the necessary corrections before signing the form.
07
Sign and date the debit order authorisation agreement form. By signing, you are giving consent for the specified company or organization to debit funds from your account according to the terms and conditions outlined.

Who needs a debit order authorisation agreement:

01
Individuals or businesses who wish to automate payments to a specific company or organization can benefit from a debit order authorisation agreement.
02
It is commonly used for recurring payments such as utility bills, insurance premiums, loan repayments, subscription fees, or membership dues.
03
Both consumers and service providers find debit order authorisation agreements useful as they provide a convenient and efficient way to handle regular payments.
Note: It is important to exercise caution and only provide your bank account details to trustworthy and reputable companies or organizations. Ensure you regularly review your bank statements to monitor the debits being made and report any unauthorized transactions immediately.
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Debit order authorisation agreement is a contract between a customer and a financial institution, giving permission for the institution to debit the customer's account for recurring payments.
Any individual or entity who wishes to set up recurring payments through a bank account is required to file a debit order authorisation agreement.
To fill out a debit order authorisation agreement, the customer needs to provide their personal information, bank account details, the amount to be debited, and the frequency of the payments.
The purpose of a debit order authorisation agreement is to establish a legal agreement between the customer and the financial institution for automated recurring payments.
The debit order authorisation agreement must include the customer's name, contact details, bank account number, payment amount, payment frequency, and the start date of the debits.
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