Florence Mkhize Building
NOTIFICATION OF CHANGE
DIRECT DEBIT DETAILS
METRO BILL ACCOUNT REFERENCE:
SURNAME & INITIALS:
____________________________________________ CODE: _______________
____ TELEPHONE (H): ___________________________________________
I hereby notify
hekwini Municipality of the following changes to my Debit Order:
(Indicate what changes you want to make by ticking the appropriate box)
Debit Limit, from R __________
Decrease Direct Debit Limit, from R _________
to R ____________
Change of Banking Details as indicated below
Cancel Direct debit Order wit
h effect from
BANK ACCOUNT DETAILS
NAME OF BANK:
BANK ACCOUNT NO:
_________________________ BRANCH CODE _________
(X the appropriate box)
NAME & INITIALS OF ACC
PLEASE RETURN THIS FORM
T HOLDER SIGNATURE
I understand and accept the following conditions of authorization:
Should the above limit be insufficient to settle my bill, I undertake to pay the diffe
rence in cash or via electronic transfer.
I undertake to maintain the above limit at a realistic level at all times.
The Council may cancel the debit order should my bank disallow a debit against my account on two occasions due to insufficien
t funds, or an
This authorization will remain in operation until revoked by me, by giving 30 days prior written notice to this effect or due
to transfer or termination of
services, or changes in bank details or for any other reason.
If my bank rejects an
y debit against my account for lack of funds or any other reason, I undertake to pay the Council a penalty in respect of each
rejection, which amount will be added to my Metro bill, and the amount of such penalty may be varied from time to time in acc
ordance with the Citys by
. A disconnection order will be issued without notice if there is a rejection of the debit order.
I authorise the Council to adjust the above limit automatically whenever there is a tariff increase with a percenta
ge equal to such an adjustment, or if the
limit is insufficient to settle the bill.
Funds should be available at least 24 hours before direct debit due date.
No written notification will be given if the bank returns a debit order. I undertake to contact th
is office immediately should there be a rejection reflected
on my bill.
I / We acknowledge that the party hereby authorized to effect the drawing(s) against my/our account may not cede or assign an
y of its rights to any third
party without my
/our prior written consent and that I/We may not delegate any of my/our obligations in terms of this to any third party.
PLEASE COMPLETE IN BLOCK LETTERS