http://www.carmed.co.za
CARMED FINANCIAL SERVICES Layout
Car Med Home Page
Online registration form
E-mail Address:
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Mr / Mrs/ Ms Other
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Surname:
Postal Addres/ Physical Address:
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ID Number:
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Telephone / Cellphone:
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Telephone Work:
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Date of Birth:
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Make of Vehicle:
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Model of your Vehicle:
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Registration number:
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VIN Number:
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How many Years service plan do you prefere
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2 Years
5 Years
Cash
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Monthly Installment:
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Deposit/ Monthly Installment
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Where did you hear from us:
Carmed Financial Services / Nedbank / Cheques Account / Branch Code: 165145 / Account Number: 1651363846/ Quote your id as ref / the hit nr on our website.
*
Required
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