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Clients Information
Name of Salon:
Where did you hear about us:
Professional Beauty Expo
Professional Beauty Magazine
SA Hairdressers Journal
Title:
Mr. Mrs. Ms. Dr. Prof.
First Name:
Surname:
ID Number:
Postal Address:
Building Name & Number/ PO BOX
Street Name & Number
Suburb
City/Town
Postal Code
 
Contact Information
Home N°:  
Work N°:  
Mobile N°:
Fax N°:  
E-mail Address:
 
Sign Up Packages  
Full Package:  
R129.00 per Month
1 Year Subscription:  
R1456.20 (10% off - normal annual price R1618.00)
Medical Package for Staff:  
R69.00 per Month
 
Banking Details
Bank:
Absa Capitec
First National Bank Nedbank
Standard Bank    
Other
Specify:
Account Number:
Branch:
Branch Code:
Account Type:
Activation Start Date:
Monthly Debit Order Date:
1st 15th 25th Last day of month
 
Credit Card Details
Credit Card Number:  
Credit Card Type:  
Master Visa
CVV Number:  
Expiry Date:  
Credit Cards may ONLY be used for Activation Fee's
 
Terms & Conditions
  1. There is a once-off activation fee for Professional Beauty & Hair Rewards membership of R199.00 (one hundred and ninety nine rand). All Monthly debits thereafter for Professional Beauty & Hair Rewards membership are R129.00 (one hundred & twenty nine rand) per month. The initial R199.00 includes the first monthly subscription fee.
  2. By acknowledging these Terms & Conditions, you are confirming that you are a qualified hairdresser or beauty therapist. All discounts available to our members are only available to qualified professionals
  3. The Company reserves the right to terminate the memberís Professional Beauty & Hair Rewards membership should the member default on their monthly Professional Beauty & Hair Rewards membership subscription. In the event of termination of the memberís Professional Beauty & Hair Rewards membership or any debit failures, the member will forfeit all rights to their Professional Beauty & Hair Rewards benefits from the date the debit proved to be unsuccessful or upon non-payment of the monthly subscription.
  4. The Company may at its sole discretion deem a memberís Professional Beauty & Hair Rewards membership to have lapsed upon the non payment of their monthly subscription fee and may reactivate or terminate membership unless notified to the contrary in writing by the member.
  5. The services of the Professional Beauty & Hair Rewards strategic partners will only be available to the member, the memberís partner and the memberís dependants as specified in the Professional Beauty & Hair Rewards membership terms and conditions contained herein.
  6. Only one Professional Beauty & Hair Rewards membership may be active for any one person or immediate family member at any given time.
  7. The memberís Professional Beauty & Hair Rewards membership number must always be quoted when dealing with any of the Professional Beauty & Hair Rewards strategic partners.
  8. Rates, conditions and strategic partners may change without notice. The Company and its employees cannot be held liable for any changes that may occur in this regard.
  9. The most current information pertaining to Professional Beauty & Hair Rewards will be updated and available on the Professional Beauty & Hair Rewards website at www. execucard.net. and www.execucard.co.za.
  10. The specific products and services provided by Professional Beauty & Hair Rewards strategic partners themselves may change. The Company and associated companies cannot be held liable for any changes that may occur.
  11. This agreement may be terminated anytime by notifying Professional Beauty & Hair Rewards in writing and giving Professional Beauty & Hair Rewards 30 days notice on the fax number 031-5737500 or email to bill@execucard.co.za.
  12. The member hereby authorises the Company to collect the agreed amount (or amended amount as may be agreed in the future) from the nominated bank account of the member.
  13. The member hereby authorises the Company to debit the memberís bank account on the prescribed day as deemed suitable by the Company.
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