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Debit Order Application Form
Vumatel Invoice Number
Name & Surname
ID / Passport Number
How many installations are you paying for?
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
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44
45
46
47
48
49
50
Payment Plan
Invoice Amount :
R 1710.00
R 1725.00
30 Days
Monthly Payment
Total Payment
Debit Date
1st of the month
15th of the month
26th of the month
Submissions must be made 48 hours prior to the Debit Date.
Bank Account Number
Branch Code
Please select a Branch Code
632005 - ABSA
462005 - Bidvest Bank
470010 - Capitec Bank
250655 - First National Bank (FNB)
198765 - Nedbank Limited
410506 - S.A. Bank of Athens
051001 - Standard Bank of S.A.
Other
Other Branch Code
I accept the
mandate terms and conditions
SUBMIT
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