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Sign up for monthly flower delivery
DecorMe Debit Order Contact form
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URL
This field is for validation purposes and should be left unchanged.
Number of flower bouquets per month
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1 x Bouquets delivered 1 x per month - R390 (ex vat)
2 x Bouquets delivered 1 x per month - R680 (ex vat)
Total per month
Name of company / account holder
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Company registration number
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If not applicable please type "N/A"
Telephone number
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VAT number
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If not applicable please type "N/A"
Contact person
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First name
Last name
ID Number
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Email
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Installation address
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Street Address
Address Line 2
City
Debit order instructions
Name of account holder
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Bank name
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Branch name
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Branch code
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Account number
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Type of account
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Cheque / Current, Savings, Transmission
Contract agreement
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I agree to the following
I agree to the following:
- The renting contract can be ended by a 1 month in advance written notice.
- The first payment must be made on the effective date and then 7 days after the delivery date every month.
- The silk arrangement remains the property of DecorMe.
- If the Arrangement gets lost or stolen while in possession of the client, the client will be held responsible for the full amount of the cost price of the arrangement.
- If there's any damage done to the arrangement, DecorMe will try to repair the damage, but the client will be held responsible for the repair costs.
We would like to take this opportunity to inform you that DecorMe are a valued member of Accountability Solutions (Pty) Ltd who assist with the recovery of outstanding monies.
Please note that once the matter has been handed over to Accountability Solutions, you will be liable for all collection costs.
Please ensure to pay any outstanding monies timeously to avoid steps being taken.
IF you signed up for Debit order option the following applies to you:
I/We hereby authorise Decorme Boland to issue and deliver payment instructions to your banker for collection against my/our abovementioned account at my/our abovementioned bank on condition that the sum of such payment instructions will not differ from my/our obligations as agreed to in the Contract Reference Number.
The individual payment instructions so authorised must be issued and delivered on the date when the obligation in terms of the Agreement is due and the amount of each individual payment instruction may not differ as agreed to in terms of the Agreement.
I/we agree that the first payment instruction will be issued and delivered on the first day of the next month and thereafter regularly on the 1st of each month.
If however, the date of the payment instruction falls on a non-processing day (weekend or public holiday) I agree that the payment instruction may be debited against my account on the following business day; or subsequent payment instructions will continue to be delivered in terms of this authority until the obligations in terms of the agreement have been paid or until this authority is cancelled by me/us by giving you notice in writing.
A monthly invoice and/or statement of account clearly reflecting the amount and date of the payment instruction to be delivered shall be provided.
The following Abbreviated short-name will be displayed on your bank statement: DECORME
The Contract Reference will be your business name or your personal name if the signup was made in your personal capacity.
B. MANDATE
I/we acknowledge that all payment instructions issued by you shall be treated by my/our abovementioned bank as if the instructions had been issued by me/us personally.
C. CANCELLATION
I/we agree that although this authority and mandate may be cancelled by me/us, such cancellation will not cancel the Agreement. I/we also understand that I/we cannot reclaim amounts, which have been withdrawn from my/our account (paid) in terms of this authority and mandate if such amounts were legally owing to you.
D. 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
Signature
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