WORKLAW: SUBSCRIPTION FORM

 

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Print and fax to WORKLAW at 031- 561 6906
WORKLAW's contact details:-
Email: help@worklaw.co.za
Telephone: 031-561 5004
Fax: 031-561 6906
Postal address: P.O. Box 201452, DURBAN NORTH, 4016
 
Name of organization:..................................................................   VAT number....................
Contact person: Name ......................................................................................................
Position ...........................................................................................................................
Physical address: .............................................................................................................
..................................................................................Code:   ............................................
Postal address:.................................................................................................................
..................................................................................Code:   ............................................
Telephone Number: Code...................   Number ....................................................................
Cellphone No.:.....................................................Fax No...................................................
Email:...............................................................................................................................


Note:
  • The cost of subscribing to Worklaw is based on the number of users within an organisation
    who will use Worklaw's services.
  • Only named subscribers to whom access codes have been allocated may use Worklaw's
    services. Access to Worklaw is strictly not transferable either within an organisation or
    elsewhere.
  • Subscribers may pay annually in advance or monthly.

 
Indicate Subscription Fee Payable Based on Your Number of Subscribers and Whether Paying Annually/Monthly
No.of subscribers
Annual subscription fee (excluding VAT)
Tick the appropriate box
Monthly subscription fee (excluding VAT)
Tick the appropriate box

1

 

R 8 016

   

R 668.00

 

2

 

R 13 628

   

R 1 136.00

 

3

 

R 18 438

   

R 1 536.00

 

4

 

R 22 847

   

R 1 904.00

 

5

 

R 27 255

   

R 2 272,00

 

Additional subscribers (specify number in box)

 

NOTE: If more than 5 subscribers required, insert the number of subscribers in the space provided
above. We will then contact you to advise you of the fee payable.

ANNUAL SUBSCRIBERS ONLY TO COMPLETE AND SIGN BELOW TO ACCEPT THE
FOLLOWING CONDITIONS:

  1. The completion of this form constitutes an order for a 12 month subscription to WORKLA
  2. This order may not be cancelled or varied during the 12 month subscription period. No
    refunds will be provided.
  3. Subscribers will be contacted annually, prior to their renewal date, about continued
    subscription to WORKLAW. Unless subscribers cancel their subscriptions to WORKLAW prior to their renewal date, they shall be deemed to have renewed their subscriptions for a further 12 month period.
  4. Once we receive this completed form, we will advise you of our bank details for payment.

NAME: ______________________________        
DESIGNATION: ____________________

SIGNATURE:_________________________        
DATE: ___________________________

 

MONTHLY SUBSCRIBERS ONLY TO COMPLETE AND SIGN BELOW TO ACCEPT
THE FOLLOWING CONDITIONS:

  1. The completion of this form constitutes a valid order to subscribe to Worklaw. This may be cancelled at any stage by 1 calendar month's written notice to Worklaw, provided that this may not be given so as to expire before 6 months after the commencement of this subscription.
  2. The subscriber hereby authorizes Worklaw and/or its agent Three Peaks / Debitsure (or any other agent instructed by Worklaw), in terms of its monthly debit order system, to draw against the subscriber's bank account the monthly payment due in terms of this subscription. All such withdrawals shall be treated as though they have been signed by the subscriber personally.
  3. Worklaw may increase the monthly subscription payable by the subscriber and processed in terms of clause 2, provided that Worklaw shall give 1 calendar months' notice thereof.
  4. The subscriber agrees to pay any bank charges levied as a result of this debit order instruction not being successful due to funds not being available from the subscriber's bank account.
  5. Any notice in terms of this Agreement may be sent by e-mail, fax or prepaid registered post to the contact details on this form. A fax shall be deemed to be received on the date sent, and a registered letter on the 5th working day after posting. A fax transmission report indicating a successful transmission of a fax shall constitute proof of service. A party may at any stage change its contact details by written notification to the other party in accordance with this clause.
Details of the subscriber's bank account are as follows (please print clearly):
Name of account holder: _________________________________
Bank: _________________________________
Branch Number: _________________________________
Account Number: _________________________________

Indicate type of account (please tick)
Current (cheque): Savings: Transmission:

Choose the date in the month when the debit order will be effected (please tick):

1st of the month

 

14th of the month

 
The debit order shall be processed at the end of each month in respect of the following month.

NB: A cancelled cheque must be attached for bank identification purposes.

__________________________________          _______________________________
NAME                                                            DESIGNATION

__________________________________          _________________________
SIGNATURE                                                   DATE