Dedit Order Mandate

I also authorise you to debit my account with once off amounts from time to time as and when intructed by me per email/in writing

Type of account

Declaration

I understand that the deductions hereby authorised will be processed by means of a system known as Sanlam Multi Data Services, and I understand that the details of each deduction will be reflected on my bank statement and on an accompanying printed slip, with the reference MULTID FOR SF with my unique number. I also understand that I have to quote this reference in my communication with Samaritan’s Feet. I agree to pay any bank charges relating to this debit order. This authorisation may be cancelled by me by giving you 30 (thirty) days written notice. I understand, however that I am not entitled to a refund of amounts deducted by you while this authorisation is valid. The receipt of this instruction by you is considered tantamount to my bank acknowledging receipt thereof.