RealPay debit order form - Tracker Botswana

Support Team: 391 3639

Emergency: 77 17 0000

WhatsApp: 77 15 0000

RealPay Debit Form

Please complete the form below for your monthly Tracker Subscription debit order.

For any enquiries please don’t hesitate to contact us: admin@tracker.co.bw or call us on +267 391 3639

Account name

Bank

Vehicle Registration Number

FNB BANK ACCOUNT HOLDERS ONLY

Branch

Account number

Account type

ALL Clients to complete the following:

Amount (BWP)

Debit order date

1st of every month 5th of every month 25th of every month

Delaration

Customer Declaration & Debit Order Agreement

I/We confirm that the information provided in this form is true and correct. A full calendar month’s written notice is required to cancel the debit order. For non-FNB account holders: To process your debit order, we require your debit card details. Provide your details at our offices to enter the information directly into the RealPay platform.

Full name

Signed at

on the

day of

Upload authorised signature