*I/We, the undersigned, confirm the accuracy of the information contained in this document and warrant that I am duly authorised to sign on behalf of the subscriber. I acknowledge that I have read, understand and agree to be bound by the terms and conditions annexed hereto. I hereby authorize WBS to debit my bank account / credit card with the amounts which are due and payable in terms of this Agreement. I hereby consent to WBS performing a credit check on me/us if 24 month contract is selected.