Debit Order Form
Debit Order Form

We invite you to fill in the debit form and send it to SERVAMUS as soon as possible in order  for you to not loose out on your SERVAMUS

 

 Name:  
 Surname:  
 Title / Rank:  
 Persal Number (SAPS Employees):  
 ID Number:  
 Address:  
 Telephone (W):  
 Telephone (H):  
 Cell:  

 

 

 

 

 

 

 

 

 

 

  

              

 aaaaaaaamy bank   Bank Details:

 

 Bank :    
 Branch name and Town:  
 Branch Code:  
 Account Number:  
 Account Type:   Cheque Savings Transmission

 

 

 

 

 

 

 

 

 

 We hereby request, "instruct" and authorized you 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) the sum of R18-75 (Eighteen Rand and sewenty five cents) "the amount necessary for payment of the monthly subscription due in respect of the SERVAMUS safety and security Magazine. " (Please tick appropriate block)

 

 

 

 

 

 

 Each Month  Once every 3 Months  Once every 6 Months Once per annum   

 

 

 

 on the first day of each and every month commencing on and continuing (as the case may be). All such withdrawals from my/our bank account by you shall be treated as though they had been signed by me/us personally.

I/we understand that the withdrawals hereby authorized will be processed by computer through a system known as the ACB Magnetic Tape Service, and I/we also understand that details of each withdrawal will be printed on my bank statement or on an accompanying voucher. I/we agree to pay any bank charges relating to this debit order instruction. This authority may be cancelled by me/us by giving you thirty days notice in writing, sent by prepaid registered post to SARP Publishers, but I/we understand that I/we shall not be entitled to any refund of amounts which you have been withdrawn while this authority was in force if such amounts were legally owing to SARP Publisher. Receipt of this instruction by SARP Publishers shall be regarded as receipt thereof by my/our bank. (whichever it is or will be ).

 

I understand that the subscription for the magazine can be increased from time to time and that this authority is deemed to include such increases. I understand that if a subscription is wrongly deducted from an account due to incorrect information supplied by me, SARP Publishers are indemnified against any legal action that might arise from such wrongdoing. I understand that if my banking details change and I do not inform SARP Publishers therof, SARP Publishers may contact my employer to obtain the correct details.(for SAPS employees only)

 

 Date of submission of this form:  
 Please indicate why you are subscribing to SERVAMUS:  Educational articles e.g POLLEX
   SERVAMUS BONANZA
   The general content
  Other(Please specify)
   

 

 

 

 

 

 

 

 

By submitting this form you agree to adhere to the terms and conditions as set out above.