AA Insurance Services IEMAS FINANCIAL SERVICES ABELARD UNDERWRITING AGENCY (AUA) INDEQUITY SPECIALISED INSURANCE ABSA DIRECT INDWE RISK SERVICES ABSA INSURANCE RISK MANAGEMENT INFINITI INSURANCE LIMITED ACE INSURANCE LIMITED INNOVATION GROUP AECI CAPTIVE INSURANCE COMPANY INTEGRISURE AFRICA REINSURANCE CORPORATION INTERMEDIARIES GUARANTEE FACILITY AIG SOUTH AFRICA JDG MICRO INSURE ALEXANDER FORBES KING PRICE INSURANCE ALIANZ GLOBAL CORPORATE & SPECIALITY KINGFISHER AON SOUTH AFRICA KHULA CREDIT GUARENTEE ART INSURANCE LANDMARK INSURANCE AUTO & GENERAL LEGALWISE - LEGAL EXPENSES INSURANCE BIDVEST INSURANCE LION OF AFRICA BoE PRIVATE CLIENTS LLOYDS INSURANCE BOTSWANA INSURANCE LYNX - TRANSIT UNDERWRITING MANAGERS BROLINK MARSH INSURANCE BUDGET INSURANCE MI WAY CENTRIQ INSURANCE MMELA COMMERCIAL & INDUSTRIAL ACCEPTANCES (CIA) MOMENTUM CONSORT MUA CIB INSURANCE ADMINISTRATORS MUTUAL AND FEDERAL COFACE SOUTH AFRICA INSURANCE NATSURE COMPASS INSURANCE NEDCOR CONSTANTIA INSURANCE NEW NATIONAL ASSURANCE CORPORATE GUARENTEE SA OAKHURST CREDIT GUARENTEE INSURANCE OMNICOVER CTU CLAREDON TRANSPORT UNDERWRITERS ONE INSURANCE DIAL DIRECT INSURANCE ORICO DIRECT AXIS INSURANCE OUTSURANCE DISCOVERY INSURE LIMITED PENDING EMERALD INSURANCE PINNAFRICA EMERITUS REINSURANCE POLYGON UNDERWRITING MANAGERS ENPET AFRICA INSURANCE CORPORATION PSG INSURANCE ENVIROSURE QUICKSURE ETANA INSURANCE - HOLLARD RAND MUTUAL EXPORT CREDIT INSURANCE REGENT FIRST FOR WOMEN INSURANCE RENASA FNB INSURANCE RMB FSP SOLUTIONS SA HOMELOANS G4S INSURANCE SA UNDERWRITERS GENERAL REINSURANCE AFRICA SAFIRE GLENRAND MIB SANTAM Guard Risk SASRIA HAMBA KAHLE UNDERWRITING MANAGERS SAXUM HANNOVER RE AFRICA SCOR AFRICA HDI GERLING INSURANCE SENATE HIC UNDERWRITING MANAGERS HOLLARD INSURANCE LIMITED HOME LOAN GUARANTEE COMPANY NPC I WYZE (Old Mutual)
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LIFE ISURANCE
1 LIFE INSURANCE LIMITED METROPOLITAN LIFE ABSA LIFE MOMENTUM LIFE AFRICAN UNITY INSURANCE LIMITED NEDGROUP LIFE AIG LIFE SOUTH AFRICA NESTLIFE ASSURANCE ALEXANDER FORBES LIFE NETCARE LIFE ALLAN GRAY LIFE NEW ERA LIFE ASSUPOL LIFE OASIS CRESCENT AVBOB MUTUAL ASSURANCE SOCIETY OLD MUTUAL LIFE BIDVEST LIFE PRESCIENT LIFE BOPHELO LIFE BENEFIT SERVICES PROFESSIONAL PROVIDENT SOCIETY - PPS CADIZ LIFE PRUDENTIAL CENTRIQ LIFE INSURANCE COMPANY PSG LIFE CHANNEL LIFE LIMITED REGENT LIFE CITADEL LIFE RGA REINSURANCE CLIENTELE LIFE ASSURANCE COMPANY RMA LIFE CONSTANTIA LIFE & HEALTH ASSURANCE RMB STRUCTURED LIFE CORONATION LIFE ASSURANCE COMPANY SAFRICAN DISCOVERY LIFE SANLAM LIFE FEDGROUP LIFE LIMITED STANDARD GENERAL FEMA STANLIB FIRSTRAND LIFE ASSSURANCE LIMITED STRATEGIC INVESTMENT SERVICE LIFE FRANK.NET LIFE LIMITED SWISS RE LIFE AND HEALTH AFRICA GUARDRISK LIFE LIMITED SYGNIA LIFE HANNOVER LIFE AFRICA UNION LIFE LIMITED HOLLARD LIFE ASSURANCE COMPANY VIVA LIFE INSURANCE LIMITED INVESTEC ASSURANCE VODACOM LIFE INVESTMENT SOLUTIONS WORKERS LIFE ASSURANCE COMPANY JDG MICRO LIFE ZURICH LIFE SA KGA LEWENS BEPERK LAND BANK LIFE INSURANCE LIMITED LIBERTY LIFE GROUP LIMITED LION OF AFRICA LIFE ASSURANCE LOMBARD LIFE INSURANCE COMPANY
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SHORT TERM
SMART INSURANCE VIRSEKER SOUTHERN CROSS RISK MANAGEMENT VULINDWE UNDERWRITING MANAGERS (VUM) STANBIC WESTERN NATIONAL TELESURE WOODWORKING RISK ACCEPTANCES UNITRANS WORKERS LIFE UNITY XL INSURANCE CO VIRGIN ZURICH
CAR & HOME INSURANCE LIFE & MEDICAL
ART AND COLLECTABLES INSURANCE CREDIT LIFE INSURANCE COVER BUILDING INSURANCE DISABILITY INSURANCE CAR / VEHICLE TRACKING EDUCATION PLANS CAR INSURANCE EMERGENCY SERVICES CARAVAN INSURANCE FINANCIAL PLANNING CELLPHONE INSURANCE FUNERAL COVER HOUSEHOLD CONTENT INSURANCE HOSPITAL PLAN MARINE AND BOAT INSURANCE KEYMAN INSURANCE MOBILE DEVICE INSURANCE LIFE INSURANCE COVER MOTORCYCLE INSURANCE MEDICAL AID MOUNTAIN BIKE INSURANCE MEDICAL INSURANCE PET INSURANCE SALARY PROTECTION ROAD BICYCLE INSURANCE SERIOUS ILLNESS COVER SMALL HOLDINGS INSURANCE
SPECIAL SERVICES4X4 INSURANCE
BUSINESS INSURANCE LEGAL AID INSURANCE POTHOLE INSURANCE
AGRICULTURAL INSURANCE SCRATCH AND DENT INSURANCE ANIMALS & LIVESTOCK INSURANCE VIDEO & PHOTOGRAFIC EQUIPMENT APRAISORS & EVALUATORS VINTAGE VEHICLE INSURANCE AVIATION INSURANCE ROAD ACCIDENT INSURANCE BUILDINGS AND PREMISES INSURANCE IDENTITY THEFT CASH IN TRANSIT INSURANCE COVER TYRE INSURANCEEMPLOYEE BENEFITS
INVESTMENTENGINEERING INSURANCE ENVIROMENT HAZMAT COVER FIRE INSURANCE FINANCIAL PLANNING (INCL RETIREMENT) FUEL RETAILER INSURANCE ASSET MANAGEMENT HOSPITALITY INDUSTRY INSURANCE FOREX / SHARE TRADING IN TRANSIT - TRANSPORT INSURANCE SAVING PLANS KEYMAN INSURANCE TAX CONSULTING MARINE AND BOAT INSURANCE UNIT TRUST MUNICIPAL INSURANCE OWNER DRIVER SCHEMES PUBLIC LIABILITY INSURANCE TAXI INSURANCE TRAVEL INSURANCE TRUCK INSURANCE VEHICLE TRACKING WOODWORKING INSURANCE
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ANY OTHER SERVICES
•SMASH-PRO (Pty) Ltd t/a WEB DIRECTORIES • Regno: 2013/005016/07 • VAT No: 4200267682• PO BOX 11976, Queenswood, 0121 • +27 (0)12 403 0120 or +27 (0) 713371635
Revised:14 April 2015
BUSINESS NAME: CLIENT NUMBER: (Office Admin)
We welcome you as a valued client on the Web Directories!
We are ready to ensure that your business benefit continuously from increased customer service delivery and the leverage power of the WEB to direct new customers to your doorstep - unlocking business opportunities for your business!
To enable us to deliver accurate and swift service , we ask that you please help us to conclude this easy registration process – it is also required by SA Bank rules
Check on-line @ the applicable URL provided below that your application data was captured correctly
Implementation of this agreement is subject to client’s approval of the Information to be inserted and hosted on the applicable business page in the Agreed Directory /s. The client accepts full responsibility for information displayed, specifically relating to Industry Contracts & Endorsements.
WEB DIRECTORIES AGREES TO:o Host and promote the client’s information on the web based database/s in the standard format as displayed on the chosen
Directory – please indicate with mark in the applicable tick box/es:
(D) AUTO REPAIR DIRECTORY - http://www.autorepairdirectory.co.za
o Initialize & update such information from time to time, as & when requested to do so
THE CLIENT AGREES TO:
o Supply accurate information in the format requested & continuously check the info displayed on the relevant page/s to becorrect – specifically regarding contractual agreements and endorsements
o Payment of the agreed service fee in advance. Amount/s as indicated below (All amounts indicated is VAT Excluded)
Monthly Debit order or EFT: (A) +(B) +(C) +(D) =TOTAL Annual cash
collection or EFT: (A) +(B) +(C) +(D) =TOTAL
Once of Design & Programming Fee of R 200 per Business Page. Number x R200 =TOTAL
= TOTAL FIRST MONTH D/O: + VAT = MONTHLY THEREAFTER: (VAT Incl.)
o If payment for services is to be done via EFT it should be made to the following company bank account Smashpro FNB Pinnacle Branch Code: 250016 Account No: 62393019396 Reference: Client number. Proof of Payment: to [email protected] Banking details also available on Invoice documentation
RENEWAL & CANCELLATION: o Monthly agreements - automatic renewed monthly, on a continuous basis. Cancellation with one(1) calendar month’s written
notice o Annual agreements – deemed to automatically renew annually on anniversary date, unless a cancellation notice is received
with one (1) calendar month’s written notice. o Change in membership fees (if any) communicated to the client’s nominated e-mail address:
Month-to-month agreements: one (1) calendar month Annual contracts : one (1) calendar month before annual renewal date
BANK DEBIT ORDER INSTRUCTION
NAME (Business Name - Debtor) : ADDRESS: CONTACT PERSON: CONTACT PERSON – E-MAIL:
DEBIT AMOUNT (in advanced – Excluding VAT)
ONCE OFF DESIGN & PROGRAM FEE ( payable with first debit / EFT, Annual fee)
MONTHLY* / ANNUALY:
COMMENCEMENT DATE:
ACCOUNT TYPE:
BANK:
BRANCH CODE:
BANK ACCOUNT NAME:
ACCOUNT NO:
VAT NO: This signed Authority and Mandate refers to our agreement as dated as on signature hereof. 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 this document 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 delivered to your address indicated above. The individual payment instructions so authorised to be issued must be issued and delivered as follows Monthly; on or after the dates when the obligation in terms of the Agreement is due and the amount of each individual payment instruction may
not be more or less that the obligation due; In the event that the payment day falls on a Saturday, 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;
Annually; on or after the dates when the obligation in terms of the Agreement is due and the amount of each individual payment instruction may not be more or less than the obligation due;
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 / we, 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 and Mandate has been ceded to Netcash (Pty) Ltd as per your agreement with Netcash (Pty) Ltd, but in the absence of such assignment of the Agreement, this Authority and Mandate will be null and void.
FOR BUSINESS – Duly authorised Signed at __________________________ on the ______day of ___________________________ 20____ _____________________ ____________________ ____________________ NAME & SIGNATURE WITNESS Page 7/7
