#Bthat1
Name
*
First Name
Last Name
Email
*
Confirmation Email
Please confirm your email address
Phone Number
*
+27 (066) 263-1020
I would like my future debit order payments to be processed on the ____ of every month (Use 0 for a once off payment).
*
Please note that your first payment will go off on the day you make your payfast payment.
I will be making payment
*
Secure Payments via Payfast
Set up own recurring EFT Payments from my banking platform.
Do you want to sponsor someone else to also Bthat1?
*
Yes
No
To receive a Section 18a Tax Certificate please provide your physical Address (if left blank we will assume you do not want a tax certificate).
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
I would like to sponsor
*
Me + 1 (R144 pm)
Me + 2 (R216 pm)
Me + 4 (R288 pm)
Me + Own Amount
Payment Received
Payment Period (Monthly/Annually)
Submit
Should be Empty: