Lenomedia - Debit order mandate


Please fill out the following form

 

First name

 

Last name

 

   Company Name 
 
    
 

 

Street address

Address line 2

City

Country

 

Type of Account*

Lenomedia

 

Mandate

I/We acknowledge that all payment instructions issued by you shall be treated by my/our above mentioned Bank as if the instructions have been issued by me/us personally.

 

Cancellation

I/We agree that although this Authority and Mandate may be canceled by me/us, such cancellation will not cancel the Agreement. I/We shall not be entitled to any refund of amounts which you have withdrawn while this Authority was in force, if such amounts were legally owing to you.

 

Assignment

I/We acknowledge that this Authority may be ceded 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.

 

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Signature Certificate
Document name: Lenomedia - Debit order mandate
Unique Document ID: 87d569b223ef3c012ffa4f87835a3a11bbbb4ff7
Timestamp Audit
November 9, 2017 09:21 SASTLenomedia - Debit order mandate Uploaded by Lenomedia Design Studio - hello@lenomedia.co.za IP 105.184.170.59
November 20, 2017 16:13 SAST Document owner hello@lenomedia.co.za has handed over this document to heilene@lenomedia.co.za 2017-11-20 16:13:02 - 105.184.216.5
November 20, 2017 16:39 SAST Document owner heilene@lenomedia.co.za has handed over this document to hello@lenomedia.co.za 2017-11-20 16:39:20 - 105.184.216.5
November 20, 2017 16:45 SASTGVA Lenomedia - hello@lenomedia.co.za added by Lenomedia Design Studio - hello@lenomedia.co.za as a CC'd Recipient Ip: 105.184.216.5
November 22, 2017 10:51 SASTGVA Lenomedia - hello@lenomedia.co.za added by Lenomedia Design Studio - hello@lenomedia.co.za as a CC'd Recipient Ip: 41.13.68.102
November 22, 2017 12:45 SASTGVA Lenomedia - hello@lenomedia.co.za added by Lenomedia Design Studio - hello@lenomedia.co.za as a CC'd Recipient Ip: 41.13.116.7
December 7, 2017 09:28 SASTGVA Lenomedia - hello@lenomedia.co.za added by Lenomedia Design Studio - hello@lenomedia.co.za as a CC'd Recipient Ip: 105.184.170.59