Debit Order Mandate Form - Please Complete

Use website name if you do not have a company name
The registration of your domain, for example; www.mydomain.co.za is billed ONCE per year and is NOT a monthly expense. Any domain other than a .co.za domain will be quoted separately as they differ in yearly price.

** The retainer amount of R250 is for the update of your WordPress version as well as updating the plugins to the latest version once every month.

This must be on the FIRST of each month.

Bank Details

ASSIGNMENT

I / We acknowledge that this Authority may be ceded to 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.

Please view the Contract Agreement & the Terms and Conditions here: https://www.klieknet.com/word/legal/ - or click on the Legal tab in the menu.

View all the legal information here: Legal Information

You can also print the debit Order Form, complete and email to us at: ssl@klieknet.com

Download Form to Print & Complete