Sign Up Form

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Subscription

Number of flower bouquets per month *

1 x Bouquet delivered 1 x per month — R390 (ex VAT) 2 x Bouquets delivered 1 x per month — R680 (ex VAT)

Please select a subscription option.

Account Details

Name of company / account holder * This field is required.

Company registration number * If not applicable please type "N/A" This field is required.

VAT number * If not applicable please type "N/A" This field is required.

Telephone number * This field is required.

Contact person * This field is required.

First name * This field is required.

Last name * This field is required.

ID Number * This field is required.

Email * Please enter a valid email address.

Installation address * Please enter your street address and city.

Debit Order Instructions

Name of account holder This field is required.

Bank name This field is required.

Branch name This field is required.

Branch code This field is required.

Account number This field is required.

Type of account Please select an account type.

Contract Agreement

I agree to the following:

The renting contract can be ended by a 1 month in advance written notice.
The first payment must be made on the effective date and then 7 days after the delivery date every month.
The silk arrangement remains the property of DecorMe.
If the Arrangement gets lost or stolen while in possession of the client, the client will be held responsible for the full amount of the cost price of the arrangement.
If there's any damage done to the arrangement, DecorMe will try to repair the damage, but the client will be held responsible for the repair costs.

We would like to take this opportunity to inform you that DecorMe are a valued member of Accountability Solutions (Pty) Ltd who assist with the recovery of outstanding monies. Please note that once the matter has been handed over to Accountability Solutions, you will be liable for all collection costs. Please ensure to pay any outstanding monies timeously to avoid steps being taken.

A. DEBIT ORDER AUTHORITY

I/We hereby authorise Decorme Boland to issue and deliver payment instructions to your banker for collection against my/our abovementioned account. The individual payment instructions so authorised must be issued and delivered on the date when the obligation in terms of the Agreement is due. I/we agree that the first payment instruction will be issued and delivered on the first day of the next month and thereafter regularly on the 1st of each month. If the date of the payment instruction falls on a non-processing day (weekend or public holiday) I agree that the payment instruction may be debited against my account on the following business day. The following Abbreviated short-name will be displayed on your bank statement: DECORME

B. MANDATE

I/we acknowledge that all payment instructions issued by you shall be treated by my/our abovementioned bank as if the instructions had been issued by me/us personally.

C. CANCELLATION

I/we agree that although this authority and mandate may be cancelled by me/us, such cancellation will not cancel the Agreement. I/we also understand that I/we cannot reclaim amounts which have been withdrawn from my/our account (paid) in terms of this authority and mandate if such amounts were legally owing to you.

D. ASSIGNMENT

I/We 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.

I agree to the contract terms and conditions above * You must agree to the terms to proceed.

Signature

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Security Check

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