I Do Insure

Wedding Insurance For South Africa

Debit Order Form

Easy Monthly Payments

Simply provide your bank account details and authorize the automatic deduction of your premium amount. This convenient method eliminates the hassle of manual payments and guarantees your coverage remains uninterrupted.

authorise and/or their collection agents (the Company) to draw against my/our account when the premium(s) due for the policy(ies) listed below and/or any substituted policy(ies) to which I/we extend this authority.

I/We further authorise the Company to vary such premium due from time to time to reflect any change in cover, risk, sum insured or policy rates.

I/We understand and agree that if any premium(s) is/are not met by the bank referred to below when the debit order is presented, the policy(ies) is/are cancelled automatically from the end of the period of insurance for which premium has been paid.

This authority remains in force until cancelled in writing by me/us or the Company.
Name of Insured:(Required)
Type of Account:(Required)
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I further authorise
and/or their collection agents to deposit directly into the above account any amount which may be due to me/us either in respect of any refund premiums or in settlement of any claim.

I/We understand that the withdrawals from the above account will be processed through a computer system and that the details of each withdrawal will be printed on my bank statement.
DD slash MM slash YYYY
ITOO and Genesis care about your privacy. In order to provide you with our service, we and our service providers have to process the personal information you provide us with by completing this form. We will treat this information with caution and we have put reasonable security measures in place to protect it.
This field is for validation purposes and should be left unchanged.

As a future-focused business, iTOO is continuously researching new developments to deliver the very best specialist products to its customers’ complex and growing needs. With technical fluency in every sphere of their business, they pride themselves on service that goes above and beyond. They believe that understanding their customers and their individual needs, is what really sets them apart, sharpens their expertise and broadens their service offering. At iTOO they don’t see case numbers, they see people; which is why their service always goes above and beyond.
iTOO Special Risks (Pty) Ltd (Reg No: 2016/281463/07) is an authorised Financial Services Provider (FSP No. 47230)
Underwritten by The Hollard Insurance Co. Ltd, a Licensed Non-Life Insurer and Auth. FSP.