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Online Debit Order Mandate

If you just gave R100 per month, donation every month it gives the Louis Botha Kinderhuis a reliable source of income that we can use to care for our children.

Or, you could give a lot more than just R100 if you wish, but that’s entirely up to you. You can either download the debit order mandate form and email the completed form back to reception@louisbothachildren.co.za or conveniently fill out the online debit order form below, Thank you so much for taking the time, your donation will make a huge difference in the lives of our children.

I, the undersigned hereby authorise Louis Botha Children’s Home to debit the following account with the amount specified below

Banking Details

UNTIL THIS AUTHORITY IS CANCELLED BY ME IN WRITING.

I confirm that I shall have no claim of whatever nature against Louis Botha Children’s Home's, or the Bank or in the event of the Bank's inadvertent failure to make payment on the due date or otherwise to comply with the provisions thereof. I hereby acknowledge that the above statement and information is correct and true.

TERMS & CONDITIONS:

By completing and submitting the form above, and continuing (as the case may be) from my/our account, at the above mentioned bank (or any other bank or branch to which I/We may transfer my/our account). All such withdrawals from my/our bank account by you shall be treated as though they had been signed by me/us personally. I/We understand that the withdrawals hereby authorized will be processed by a computer, and I also understand that details of each withdrawal will be printed on my bank statement or on an accompanying voucher. I/We agree to pay any bank charges relating to this debit orders instruction. This authority may be cancelled by me/us by giving you 30 days notice in writing, sent by email only to reception@louisbothachildren.co.za, but I/We understand that I/We shall not be entitled to any refund of amounts which you have withdrawn while this authority was in force if such amounts were legally owing to you. Receipt of this instruction by you shall be regarded as receipt thereof by my/our bank (whichever it is or will be) I/We hereby acknowledge that the party hereby authorized to effect the drawing(s) against my/our account may not cede or assign any of its rights to any third party without my/our written consent and that I/We may not delegate any of my/our obligations in terms of this contract/authority to any third party without prior written consent of the authorized party.

I consent to the conditions.
This Electronic form shall be treated as though it had been signed by me personally