Dear Partner

We are delighted that you would like to become a committed agent of social change in Langa Township.

Thank you for partnering with us on our journey to uplift the community of Langa through sustainable and meaningful empowerment initiatives.

Below you will find the debit order authority form for you to complete and submit online. Alternatively you can download the hard copy form below.

Kind Regards
The Just Grace Team

Online Form

Authority To Debit


Name: Just Grace NPC

Registration No: 2012/205872/08

Email: contact@justgrace.co.za


Just Grace NPC
45 Washington St

Signed Authority and Mandate for Debit Order

  • I/We hereby authorise you to issue and deliver payment instructions to your banker for collection against my/our above-mentioned account at my/our above-mentioned bank (or any other bank or branch to which I/we may transfer my/our account) on condition that the sum of such payment instructions will never exceed my/our obligations as agreed to in the agreement and commencing on and continuing until this authority and mandate is terminated by me/us by giving you one calendar’s month notice in writing.

    The individual payment instructions so authorised to be issued must be issued and delivered monthly (on the last day of every month or on the first day of the month, as stipulated). In the event that the payment day falls on a Sunday, or recognized South African public holiday, the payment day will automatically be the very next ordinary business day.

    I/We understand that the withdrawals hereby authorised will be processed through a computerised 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 must be included in the said payment instruction.

    B. Mandate

    I/We acknowledge that all payment instructions issued by you shall be treated by my/our above mentioned bank as if the instructions have 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 I/We shall not be entitled to any refund of amounts which you have withdrawn while this authority was in force, if such amounts were legally owing to you.

    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, but in the absence of such assignment of the agreement, this authority and mandate cannot be assigned to any third party.


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CALL: 0800 029 999


Just Grace is a non-profit company with the overarching objective of poverty alleviation in Langa, Cape Town.

Please Note: Just Grace NPC
only operates in Langa, Cape Town.

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