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Details of beneficiary: Address: 194 Lois Avenue, Newlands, Pretoria, 0181. Tel: 012 365 2205. Name as Registered with the bank: Bruidsgids (Pty) Ltd

I/We understand that the withdrawals hereby authorized will be processed through a computerised system provided by the South African Banks. I also understand that details of each withdrawal will be printed on my bank statement. Such must contain a number, which must be included in the said payment instruction and id provided to me should enable me to identify the Agreement. This number must be added to this form before the issuing of any payment instruction. All Web packages will be valid for a minimum term of 6 months.

Details of beneficiary: Address: 194 Lois Avenue, Newlands, Pretoria, 0181. Tel: 012 365 2205. Name as Registered with the bank: Bruidsgids (Pty) Ltd

I/We understand that the withdrawals hereby authorized will be processed through a computerised system provided by the South African Banks. I also understand that details of each withdrawal will be printed on my bank statement. Such must contain a number, which must be included in the said payment instruction and id provided to me should enable me to identify the Agreement. This number must be added to this form before the issuing of any payment instruction. All Web packages will be valid for a minimum term of 6 months.