To Activate Your Membership Kindly complete the Debit Order Mandate Please enable JavaScript in your browser to complete this form.1. Client InformationFull Name and Surname *FirstLastID Number *Contact Number * Surname 1. that Email Address *2. Banking DetailsBank Name *Branch Code *Account Number *Account Type *ChequeSavings3. Mandate and ConsentActivate your Membership *YesI, name as stated above, hereby authorize Consumer Protection Centre (Pty) Ltd to debit my above-mentioned bank account for the monthly membership fee of R79.00 (ex VAT), starting from this month of this entry date, and thereafter on the first of each month.I acknowledge thatThis debit order will continue until I provide written cancellation with 30 days’ notice. Insufficient funds may result in reattempted deductions and additional banking fees. I have the right to dispute unauthorized debits by contacting my bank within 30 days of the transaction. I understand that this debit order is in compliance with the rules of the South African Payments Association (PASA).By signing below, I confirm that I have read and understood the terms of this debit order mandate.Date *Submit
