Debit Order Mandate Form - Please Complete

Use website name if you do not have a company name
If you already host with us, we will just add the SSL Certification to your current hosting plan.

** A R500 setup cost will apply to SSL Certification that will be invoiced separately.

This must be on the FIRST of each month.

Bank Details


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: - 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:

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