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WORKLAW: SUBSCRIPTION FORM
Print and fax to WORKLAW at 031-562 8664
WORKLAW’s contact details:-
Email: help@worklaw.co.za
Telephone: 031-572 3259
Fax: 031-562 8664
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

    		  

    R5 846,50

    		    

    R 487,21

    		  

    2

    		  

    R9 939,00

    		   

    R 828,25

    		  

    3

    		  

    R 13 447,00

    		    

    R1 120,58

    		  

    4

    		  

    R 16 663,00

    		    

    R1 388,58

    		  

    5

    		  

    R 19 879,00

    		    

    R1 656,58

    		  

    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:
  • The completion of this form constitutes an order for a 12 month subscription to WORKLA
  • This order may not be cancelled or varied during the 12 month subscription period. No
    refunds will be provided.
  • 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.
  • 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 an order for a subscription to Worklaw for a minimum period of six months. It may not be varied or cancelled during this period and no refunds will be provided. Thereafter it may be cancelled subject to one calendar month’s notice to Worklaw.
    2. Monthly subscriptions are paid through Worklaw’s debit order system. The subscriber hereby authorizes Worklaw and/or its agent Three Peaks / Debitsure (or any other agent instructed by Worklaw) 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 the subscriber 1 calendar months' notice thereof.
    4. The subscriber agrees to pay any penalty 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. A notice given in terms of this Agreement may be sent by email, fax or prepaid registered post to the contact details reflected 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

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

    __________________________________          _______________________________
    NAME                                                            DESIGNATION

    __________________________________          _________________________
    SIGNATURE                                                   DATE