Hosting In SA

Website Debit Order Mandate


 I agree for my personal data to be processed and for the use of cookies in order to engage in a transaction processed by Hosting In SA, for the purpose of a monthly debit order.

By signing below on completion of this form, you acknowledge that the information you provide for processing is in accordance with our Terms & Conditions.


Given by: "Name and Surname" :   

Identity Number :  

Contact Number :  

Contact Number :  

Email Address :  


Banking Institution : "Choose 1 Bank Name only"

Bank & Branch Code


Bank Account Number:


Type of Account


Debit Order Date: "Choose 1 Debit Date Only"

|   |   


***PROUDLY AFRICAN EMAIL [complete only if customer is purchasing an email service]

My "Proudly African" email address is and temporary sign-on password is    (I do understand that the password can be changed by myself at any time)


Products & Monthly Recurring Subscription:

- Enquire about our International Domain options with our sales team. Domains are renewable annually!


- Website design for small to medium businesses for only R299/month recurring. Set-up price of R4999 once-of is discounted only if valid coupon code is submitted on Checkout via Payfast, SagePay or PayPal.


- Website design for businesses that needs to sell their products online, for only R499/month recurring. Set-up price of R6999 once-off is discounted only if a valid coupon code is submitted on Checkout via Payfast, SagePay or PayPal.


- Enquire with our sales and design team about our "WordPress Website Design" option for only R2999 once-off.


- This plugin is what sets your website apart from ordinary designs, with the options to change the look and flow of your current website to suit your company brand. Pay only R299 once-off (incl. installation) and we will get it done for you. NB. This does not include re-designing your website!


- We create Social media accounts for your company, for a set-up price of R499 once-off and recurring R499/month maintenance, for any 3 accounts (Facebook, Twitter, Instagram...) Maintenance includes posting, re-posting and re-designing, once a week only.


- Reach out to potential customers within a few kilometers of your business, or broadcast your ads to other countries. With AdWords, it's up to you. You will be able to access reports on how many viewers or visitors your website had in a specific period or how many calls were successful because of your website marketing. Once you've found out what suits your business best, we can tweak your ads according to the client's search criteria for better results. Adjust your budget whenever you want to and cancel your subscription with Google whenever you want to.


- Enquire with our sales or design team about the best SSL option for your type of business. An SSL Certificate will confirm that your website is "A Safe Place" to visit! Prices starting from R200/ annually.

- We will design your logo or business card according to your request for only R1299 once-off. 


- Get an email account that represents a true South African, for only R89/month recurring. 


- SpamExperts offers full inbox protection against spam, viruses and malware, and prevents IPs from getting blacklisted, offering full network and IP reputation protection. Packages starting from R50,83/month recurring.


- Weebly's drag and drop website builder makes it easy for you to create a powerful, professional website without any technical or coding skills. Try Weebly and create a (1) page site with a "Lite" entry level option starting from only R33,83/month.


- SiteLock Fix - Cloud-based Website Protection & Malware Removal starting from R254,83/month recurring.


- Backup solutions starting from R35,53/month recurring.


- VPN from SiteLock offers High Speed, Secure, and Easy to Use VPN Security and Protection for Web Browsing. Shield your personal data and get peace of mind each time you use public Wi-Fi, access personal and work accounts on the road, or just want to keep your browsing history to yourself. This one subscription covers and protects up to (5) devices simultaneously. Prices starting from R142,49/month recurring.


- Get an instant SEO report with a plan for all the issues that needs attention and fixing on your website. Prices starting from R71,17/month recurring.


- OX App Suite is a powerful email, communication and collaboration solution that gives you secure, reliable and professional email, calendaring, contacts and more. Users enjoy 99,9% uptime, premium anti-virus and anti-spam protection, and advanced productivity tools. Prices starting from only R35,52/month recurring. 



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Name of Reseller/Service Provider: ……Hosting In SA (Pty) Ltd…..

Customer Care Tel 1: ……[031] 401 1359……….……

Customer Care Tel 2:  ……[087] 265 9306……………

Customer Care email address: … |…….. 


This signed Authority and Mandate refers to our contract Dated:  |   |  

"The Agreement" 

I hereby authorise you, Hosting In SA (Pty) Ltd, to issue and deliver payment instructions to your banker for collection against my above-mentioned account at my above-mentioned bank (or any other bank or branch to which I may transfer my account) on condition that the sum of such payment instructions will never exceed my obligations as agreed to in the Agreement, and commencing on  |   |   and continuing until this Authority and Mandate is terminated by me by giving you notice in writing of not less 20 ordinary working days, and sent by prepaid registered post or delivered to your address indicated below.

The individual payment instructions so authorised to be issued must be issued and delivered as follows: Monthly. The amount will be debited with a valid reference on your bank statement.

In the event that the payment day falls on a Sunday or recognized South African public holiday, the payment day will automatically be the preceding ordinary business day. Furthermore, if there are insufficient funds in my 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. Payment Instructions due in December |   |  

I  understand that the withdrawals hereby authorised will be processed through a computerized 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 number must be included in the said payment instruction and if provided to me should enable me to identify the Agreement. This number must be added to this form in Section E before the issuing of any payment instruction.

    I acknowledge that all payment instructions issued by you shall be treated by my above mentioned bank as if the instructions had been issued by me personally.
    I agree that although this Authority and Mandate may be cancelled by me, such cancellation will not cancel the Agreement. I 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.

I acknowledge that this authority may be ceded 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 ONLINE on the  |   |  

Before continuing, you must agree to the following:!!!Note that All orders are subject to a successful debit process. Your details will be deleted and/or blocked from our system after 14 days, in the event of an unsuccessful debit!!!

30 Day Money-back Guarantee if you are not satisfied with your Web design (excluding domain fee)!
For any queries regarding your product purchase and/or activation of product, please contact our support department on:  (031) 401 1359 or email us at

Online Purchasing Terms and Conditions

In order to proceed you will need to accept the new Terms and Conditions and/or Mandate.

I have read all Terms and Conditions for Online Purchases
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Signed by John Mason
Signed On: September 27, 2021

Signature Certificate
Document name: Website Debit Order Mandate
lock iconUnique Document ID: ffecc99dd14746f919e3cf2fa9c14e26c02dabce
Timestamp Audit
September 16, 2021 8:33 pm SASTWebsite Debit Order Mandate Uploaded by John Mason - IP