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Acknowledgement of Vehicle Contracts
The following service contracts or addon require attention
This popup will close when all the contracts have been completed
RENTAL AGREEMENT
Contact No: 010 140 0206 or 031 350 4000 or 082 414 0758
Signature
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SUBSCRIBER AGREEMENT
Contact No: 010 140 0206 or 031 350 4000 or 082 414 0758
A - SUBSCRIBER/OWNER DETAILS
Full Name/s & Surname
Title
*ID No
Tel No
Physical Address
Postal Code
Agreement Ref. No (Client Acc Code)
B - EMERGENCY CONTACT DETAILS
Emergency 1
Emergency 2
D - COSTS
Monthly Subscription - Payable Monthly In Advance by Debit Order
X
Description
R Amt Incl VAT
Qty
R Total Incl VAT
*Altrack may from time to time increase the Monthly
rental upon at least 1 (one) calendar month's prior written notice to the SubscriberAltrack Bank Details: Altrack Fleet Managment, Standard Bank, Norwood (00-41-05), 201 629 852
E - DEBIT ORDER AUTHORISATION - Abbreviated Name as Registered with the bank : ALTRACK
ACCOUNT HOLDER
BANK
BRANCH/TOWN
BRANCH CODE
ACCOUNT No
TYPE OF A/C
Debit Order Dates
This signed Authority and Mandate refers to our contract as dated as on signature hereof ('the Agreement').
I / We hereby authorise you to issue and deliver payment instructions to the bank for
collection against my / our abovementioned account at my / our above mentioned bank (or any other bank or
branch to which I / We may transfer my / our account) on condition that the sum of such payment instructions will
never exceed my / our obligations as agreed to in the Agreement, and commencing on the commencement date and continuing
until this Authority and Mandate is terminated by me / us by giving you notice in writing of no less than 20
ordinary working days, and sent by prepaid registered post or delivered to your address indicated above.
The individual payment instructions so authorised to be issued must be issued and delivered as follows on
the
day ('payment day') of each and every month commencing on
(Year-Month-Day).
In the event that the payment day falls on a Sunday or recognized South African public holiday, the payment
day will
automatically be the very next ordinary business day. Further, if there are insufficient funds in the
nominated account
to meet the obligation, you are entitled to track my account and re-present the instruction for payment as
soon as sufficient funds are available in my account;
I / We understand that the withdrawals hereby authorised 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. 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.
MANDATE
I / We acknowledge that all payment instructions issued by you shall be treated by my/our above mentioned
bank as if the instructions had been issued by me/us personally. 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 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 to 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.
Signed at
on this
SIGNATURE OF AUTHORISED ACCOUNT HOLDER AT BANKING INSTITUTION
F - TERMS
AND CONDITIONS
I/We the undersigned,
having read and understood the terms and conditions attached hereto, agree to abide and to be
bound by said terms and conditions.
Accepted by Subscriber/Company at
on this
RENTAL AGREEMENT
Contact No: 010 140
0206 or 031 350 4000 or 082 414 0758
COSTS
Monthly Rental - Payable Monthly In Advance by Debit Order
*Stripping Cover - Per Vehicle @
R (incl. vat) each. Total amount R *Altrack may from time to time increase the Monthly rental upon at
least 1 (one) calendar month's prior written notice
to the Subscriber
DEBIT
ORDER AUTHORISATION
ACCOUNT HOLDER
BANK
BRANCH CODE
TYPE OF A/C
ACCOUNT No
Debit Order Dates
This signed Authority and Mandate refers to our contract as dated as on signature hereof ('the Agreement'). I / We
hereby authorise you to issue and deliver payment instructions to the bank for
collection against my / our abovementioned account at my / our above mentioned bank (or any other bank or branch to
which I / We may transfer my / our account) on condition that the sum of such payment instructions will never exceed
my / our obligations as agreed to in the Agreement, and commencing on the commencement date and continuing until
this Authority and Mandate is terminated by me / us by giving you notice in writing of no less than 20 ordinary
working days, and sent by prepaid registered post or delivered to your address indicated above.
The individual payment instructions so authorised to be issued must be issued and delivered as follows on the
day ('payment day') of each and every month commencing on (Year-Month-Day).
In the event that the payment day falls on a Sunday or recognized South African public holiday, the payment day will
automatically be the very next ordinary business day. Further, if there are insufficient funds in the nominated account
to meet the obligation, you are entitled to track my account and re-present the instruction for payment as soon as sufficient
funds are available in my account;
I / We understand that the withdrawals hereby authorised 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. 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
MANDATE
I / We acknowledge that all payment instructions issued by you shall be treated by my/our above mentioned bank as if
the
instructions had been issued by me/us personally. 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 shall not be entitled to any refund of amounts
which you have withdrawn while this authority was in foruce, if such amounts were legally owing to you. ASSIGNMENT
I / We acknowledge that this Authority may be ceded to 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.
Signed at
on this
SIGNATURE OF AUTHORISED ACCOUNT HOLDER AT BANKING INSTITUTION
TERMS
AND CONDITIONS
I/We the undersigned, having
read and understood the terms and conditions attached hereto, agree to abide and to be
bound by said terms and conditions.
