THE LIVING WILL ENROLMENT FORM

To:The Director                            Date:......................
SAVES - The Living Will Society
P.O. Box 1460
WANDSBECK
Kwa-Zulu Natal, 3631
Phone: (031) 266 8511 Fax: (031) 267 2218
E-mail: livingwill@3i.co.za    Web: www.livingwill.co.za
 Please enrol me/us as a member/s of the Society. I/we enclose my/our once-off Membership/Joining Fee.
R60 per person (including Pensioners)
R110 per married couple (including Pensioners)
R20 per person receiving a Government Old Age Pension, or Disability Grant
PLEASE PRINT
Surname:.......................................................................
First Names (Mr):...........................................................
First Names (Mrs/Ms):.....................................................
Address (Res & Postal):...................................................
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Tel:(...........)..................................Postcode:.................
E-mail:..........................................................................

ANNUAL SUBSCRIPTIONS fall due on members' receipt of the Annual Newsletter from the year following their enrolment: R30 per person (including pensioners) or R10 per person receiving a Government OAP or DG.

CHEQUES, POSTAL ORDERS OR DEPOSITS to be made payable to SAVES - The Living Will Society.

DIRECT DEPOSITS: Standard Bank (Westville Branch Code No.045426), Current Account No. 05 307 4416. YOUR SURNAME AND INITIALS MUST APPEAR IN THE REFERENCE SECTION ON THE BANK DEPOSIT SLIP, and either fax or post the deposit slip to us as proof of payment, together with your completed Remittance/Enrolment Form.

ELECTRONIC PAYMENTS AND INTERNET BANKING: Please put your SURNAME AND INITIALS in the REFERENCE SECTION of the transaction and send proof of payment.