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Ria Sebetsa Security Services
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  • Home
  • About Us
  • Services
  • Specials
  • Sign-up
  • Training
  • Gallery
  • Contact
Sign Up Online Application Form

Property to be Protected:

Personal Information

First Name: *
ID Number: *
Physical Address:
 
 
Code:
Home Tel Number:
Alternative Number:
Last Name: *
Email Address: *
Postal Address:
 
 
Code:
Mobile Number:
Fax Number:

New Contract

24 Hour Alarm Monitoring Services Only:    
24 Hour Alarm Monitoring & 24 Hour Armed Response:  
24 Hour Guarding Service & 24 Hour Armed Response Vlei View Community:  
24 Hour Call Out Service and 24 Hour Armed Response:
Do you require SMS notifications?
24 Hour Guarding Service:
24 Hour Escorting/VIP Protection:
Alarm System Rental:  
 

Payment Method

Debit Order:
Bank Name:
Branch Name:
Branch Code:
Account Type:
Account Holder Name:
Account Number:
Amount Inc VAT:
Debit orders are done on the 30th Of Each Month or on the last working day of the 30th: 
Returned/Unpaid Debit Orders carries R175.00 ex VAT admin fee/penalty per failed trasanction: 
Digital Signatures
Upload Copy of ID:
Please ensure that all the details contained in this form are correct. You should only submit this form if you are prepared and able to keep to its legal terms and conditions. If there is more than one Customer, the Customers must all sign. By uploading your signature ID to this Agreement, you acknowledge that you have read and understood the terms and conditions of this Agreement.
I have read this Agreement and agree to the terms and conditions. 
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