Online Application Form: RezCare SOS - R499 pm
Start Date of Membership
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Person Responsible for Account
Type of Account
Preferred Debit Order Date
Please check each box to show your agreement to the statements below:

Thank you for submitting this application form. Should you not hear from us within 24 working hours - please call our support centre on 087-654-3177 or email members@rezcare.co.za.