Set Up Your Direct DebitFill in your details below and weβll set up your hands-free payments with Atomic! πIf you have any questions or concerns please review our Direct Debit Help Doc This agreement sets up a Direct Debit Agreement between Atomic and yourself. Itβs a convenient way to pay your invoice every month!AuthorityYour Full Name* Email* Bank Account DetailsThis website session is encrypted and private - you can confirm this by checking the URL padlock in your browser. We will only ever use your bank details to set up Direct Debit instructions with our Payment Systems Provider.Bank Name*Choose Your BankAbsaAfrican BankBank ZeroBidvest BankCapitecDiscoveryFirst National BankInvestecMercantile BankNedbankStandard BankType of Account*Select Account TypeCurrent/ChequeSavingsTransmissionAccount Number* Branch Code* To [Name of Beneficiary]* Date* Service AgreementYour Service Agreement and package choices with Atomic are defined in the emails you received, after placing your initial Service Order. Your current Service can be altered upon request. Details of your latest Service Agreement can be found on your most recent monthly invoice. Detailed Terms of Service can be found here: http://atomic.ac/termsHidden*Your Service Agreement and package choices with Atomic are defined in the emails you received, after placing your initial Service Order. Your current Service can be altered upon request. Details of your latest Service Agreement can be found on your most recent monthly invoice. Detailed Terms of Service can be found here: http://atomic.ac/termsAuthorisation I hereby authorise Atomic (Pty) Ltd to issue and deliver payment instructions to Paysoft for collection against my aforementioned bank account on condition that the sum of such payment instructions will never exceed my obligations as set out in my Service Agreement with Atomic (Pty) Ltd. Payment instructions so authorised, must be issued and delivered monthly on or after the dates when the obligation in terms of the Service Agreement is due, and the amount of each individual payment instruction may not be more than the agreed instalment plus any arrears (if applicable). Payment instructions so authorised to be issued must carry a number, this number must be included in the said payment instructions and it should enable you to identify your Service Agreement. This number is your Atomic Customer ID and is added to this agreement below. I agree that the first payment instruction will be issued and delivered on or after the date my first invoice is due, as defined in the Service Agreement. Subsequent payment instructions will continue to be delivered in terms of this authority until the obligations in terms of the Service Agreement have been paid or until this authority is cancelled by me, by giving you 25 days notice in writing, and sent by electronic mail to accounts@atomicaccess.co.za I agree that should the debit order amount be disputed and changed back to me, and where it is found that the charge back was not warranted, I will be liable for the R50.00 dispute fee charged by Paysoft. Hidden* 1 - I hereby authorise Atomic (Pty) Ltd to issue and deliver payment instructions to Paysoft for collection against my aforementioned bank account on condition that the sum of such payment instructions will never exceed my obligations as set out in my Service Agreement with Atomic (Pty) Ltd. 2 - Payment instructions so authorised, must be issued and delivered monthly on or after the dates when the obligation in terms of the Service Agreement is due, and the amount of each individual payment instruction may not be more than the agreed instalment plus any arrears (if applicable). 3 - Payment instructions so authorised to be issued must carry a number, this number must be included in the said payment instructions and it should enable you to identify your Service Agreement. This number is your Atomic Customer ID and is added to this agreement below. 4 - I agree that the first payment instruction will be issued and delivered on or after the date my first invoice is due, as defined in the Service Agreement. Subsequent payment instructions will continue to be delivered in terms of this authority until the obligations in terms of the Service Agreement have been paid or until this authority is cancelled by me, by giving you 25 days notice in writing, and sent by electronic mail to accounts@atomicaccess.co.za 5 - I agree that should the debit order amount be disputed and changed back to me, and where it is found that the charge back was not warranted, I will be liable for the R50.00 dispute fee charged by Paysoft.MandateI acknowledge that all payment instructions issued by you shall be treated by my aforementioned bank as if the instructions had been issued by me personally.Hidden*I acknowledge that all payment instructions issued by you shall be treated by my aforementioned bank as if the instructions had been issued by me personally.CancellationI agree that although this authority and mandate may be cancelled by me, such cancellation will not cancel the Service Agreement. I also understand that I cannot reclaim amounts, which have been withdrawn from my account (paid) in terms of this authority and mandate, if such amounts were legally owing to you.Hidden*I agree that although this authority and mandate may be cancelled by me, such cancellation will not cancel the Service Agreement. I also understand that I cannot reclaim amounts, which have been withdrawn from my account (paid) in terms of this authority and mandate, if such amounts were legally owing to you.Abbreviated Short NameThe Abbreviated Short Name will be set to: AtomicHidden*The Abbreviated Short Name will be set to: AtomicSignature and Reference NumberAtomic Customer ID* Ask us if you don't have thisSigned at* on this* Day of* Signature*