Internet Service Application

Client Details

Please complete the form
Full Name*

First NameLast Name
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.
Alternative Phone Number
Please enter a valid phone number.
ID Number*
Full Address*
Province
Postal Code
Latitude
Longitude

Billing Details

Please complete the form
Payment Type*
Debit Order Date*
Account Holder Name*
Bank Name*
Account Type*
Account Number*
Debit Order Mandate

Abbreviated Name as Registered with the Bank: SESSIONTEL

This signed Authority and Mandate refer to our contract dated ("the Agreement").

I/We hereby authorize you to issue and deliver payment instructions to your Banker for collection against my/our before-mentioned account

at my/our before-mentioned Bank (or any other bank or branch to which I/we may transfer my/our account) on the condition that

the sum of such payment instructions will never exceed my/our obligations as agreed to in the Agreement and commencing on the date selected below

and continuing until this Authority and Mandate is terminated by me/us by giving you notice in writing of not less than 20 ordinary working days,

and sent by prepaid registered post or delivered to your address as indicated above.

The individual payment instructions so authorized to be issued must be issued and delivered as follows: MONTHLY

In the event that the payment day falls on a Sunday, or recognized South African public holiday, the payment day will automatically be the preceding

ordinary business day.

I / We understand that the withdrawals hereby authorized will be processed through a computerized system provided by the South African Banks

and I also understand that details of each withdrawal will be printed on my bank statement. Each transaction will contain a number, which must be

included in the said payment instruction and if provided to you should enable you to identify the Agreement. A payment reference is added to this

form before the issuing of any payment instruction.

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be entitled to any refund of amounts which you have withdrawn while this Authority was in force if such amounts were legally owing to you.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.
I accept the Debit Order Mandate *

I Accept

Terms and Conditions
Please note the following

1. All services are billed on a month-to-month basis.

2. All services are billed in advance for the monthly subscription charge.

3. Clients are responsible for all invoices until the contract is cancelled.

4. NO service is billed based on usage. (NOT PAY AS YOU GO)

5. A proof of payment MUST be sent to payments@sessiontelecoms.co.za for any EFT payment made.

6. A one(1) calendar month notice must be provided for any cancellations.

Additional Notes
Should be Empty:

Internet Service Application

Client Details

Billing Details

Terms and Conditions