Enquiry Form
 

 
  Please complete the fields below:
     
  Name:
  Surname:
  Email:
  Cell No:
     
  Please select your packages (R49.99 each per month):
     
  Legal Cover
  Medical Cover
  Funeral Cover
  Roadside Assistance
  Tutor Assist
  Tax Assist
  MoneySmart Assist
  Map & Direction Assist
  PSARU - People Search & Rescue Unit
  StayMobile
  Security Assist
  Crime Assist
  Home & Convenience Drive
  P.I. Protect
  Bail Protect
  License Protect
  Accident Protect
  Pothole Protect
  Fines Protect
  Document Assist Expert
  Office Assist
  Home Assistance
  Assault, Trauma & HIV Protection
  Medical Assist
  Panic SOS System
  Misfueling Assistance
  Emergency Bicycle Roadside Assist
  Emergancy Roadside Assisstance
  Road Protect Suite
     
  Please select an option:
     
  12 Months
  24 Months
   
 
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