Order Form Multi User (Managed)

Order Details

Personal Details

Affiliate Code

Payment Details

Please make a manual payment for the amount on the order , a receipt will be issued on your account . Please only pay via EFT or ATM deposit , which will then allow your account to be immediately activated, you will then be debited for subsequent months. Select the date for your first debit order to run. Subsequent debit orders will fall on the closest day to the selected day of the respective month.

Monthly Payment Date* (YYYY-MM-DD)

You will be redirected to our secure Payment gateway for payment processing

Recurring Billing Commencement Date* (YYYY-MM-DD)

You will be redirected to our secure Payment gateway for payment processing

Bank Details

Bank Account: Standard Bank
Account Number: 022547886
Branch Code: 018508

Reference: Will bre provided after submission

FICA Supporting Documentation Required

You can also submit via email

Proof of Bank account (any one of the following - required only for debit orders)

Cancelled cheque

Bank statement

Photo of front of card linked to account

Stamped proof of account

Individuals:

Clear certified copy of your green barcoded ID or ID Card. (If card, both sides of your ID card are required)

Proof of residence in geographical area of number ordered

Business

Copy of business registration document (CIPC)

Proof of business residence in geographical area of number ordered

Clear certified copy of your green barcoded ID or ID Card. (If card, both sides of your ID card are required). Dated no older than 6 months ago.

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