Membership Registration

Success Club Lite
 

Login Details

Enter your E-mail Address:

Password:

Repeat Password:

   
 

Personal Details

Title:

First Name:

Last Name:

Mobile Number:

   
 

Business Details

Business Stage:

Company Name:

Province:

Closest City:

Country:

Office Number:

   
 

Payment Details
   
  Credit card Debit Your bank

R1999 for 12 Months

R228 per month

   

Bank Account Name:

Bank Name:

Branch Name:

Branch Code:

Account Number:

Account Type:

   

TERMS & CONDITIONS

I/We hereby request and authorise you to draw against my/our account with the abovementioned bank (or any other bank or branch to which I/we may transfer my/our account) the sum of (as stipulated above) or any variable amount pertaining to this agreement, on the 25th/10th of each month or the closest working day thereafter, this being the amount necessary for the settlement of the monthly fee due for your membership of the Entrepreneur.co.za Success Club.

 

All such withdrawals from my/our account by you shall be treated as though they had been signed by me/us personally.

 

I/We the undersigned, "instruct" and authorise your agent Netcash (Pty) Ltd, to draw against my/our account or Virtual Card Services (VCS) to draw against my credit card. I/We understand that if bank/credit card details have been supplied, the withdrawals authorised here will be processed by BankServ for debit orders and VCS for credit cards. I/We agree to pay any banking charges relating to this debit order instruction.

 

Assignment:

I/We acknowledge that the party hereby authorised to effect the drawing(s) against my/our account may not cede or assign any of its rights and that I/we may not delegate any of my/our obligations in terms of this contract/authority to any third party without prior written consent of the authorised party.

 

 

 

For any queries please contact the office on 011 563 3800