Armor Financial Services

  • 012 383 2650
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  • info@armorfs.co.za
  • 012 383 2650
  • 081 788 1552
  • 087 474 6674
  • FSP 53904
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Principal Member
Select Your Cover Plan
Single Cover Ages: 18 - 64
Month Premium
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0.00
Single Cover Ages: 65 - 74
Month Premium
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0.00
Single Cover Ages: 75 - 84
Month Premium
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0.00
Single Cover Ages: 85 - 99
Month Premium
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0.00
Family Cover (Ages: 18 - 64) Spouse + 6 Children
Month Premium
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0.00
family Cover (Ages: 65 - 74) Spouse + 6 Children
Month Premium
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0.00
family Cover (Ages: 75 - 84) Spouse + 6 Children
Month Premium
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0.00
family Cover (Ages: 85 - 99) Spouse + 6 Children
Month Premium
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0.00
Traditional Cover (Ages: 18 - 64) 1 Member + 5
Month Premium
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0.00
Traditional Plan Cover (Ages: 65 - 70) 1 Member + 5
Month Premium
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0.00
Traditional Plan Cover (Ages: 71 - 75) 1 Member + 5
Month Premium
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0.00
Traditional Plus Plan (Ages: 18 - 64) 1 Member + 9
Month Premium
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0.00
Traditional Plus Plan (Ages: 65 - 70) 1 Member + 9
Month Premium
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0.00
Traditional Plus Plan (Ages: 71 - 75) 1 Member + 9
Month Premium
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0.00
Traditional Pro Plan (Ages: 18 - 64) 1 Member + 13
Month Premium
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0.00
Traditional Pro Plan (Ages: 65 - 70) 1 Member + 13
Month Premium
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0.00
Traditional Pro Plan (Ages: 71 - 75) 1 Member + 13
Month Premium
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0.00
Title
First Name
Last Name
ID Number
Date of birth
Physical Address
Mobile Phone Number
Work Phone Number
Home Phone Number
Email
Language
Postal Address
Your monthly payment
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0.00
Add Dependances
These are the people covered in your policy.
Beneficiary
This is the person the payout will go to in event you pass away.
Add Beneficiary
Your monthly payment
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0.00
Principal Member Account Details
Account Holder
Bank Name
Branch code
Account Type
Account Number
Relationship to Member
Relationship to Member if paying for someone else
Debit Order Authorisation
Account holder (Debtor) Information
ID Number / Registration Number:
Name & Surname / Company Name:
If Company / CC, Name of Person(s) signing this:
Your full names if you are signing on behalf of company
Mobile Phone Number
Work Phone Number
Account Holder Name
Bank Name
Branch Code
Your Bank Branch Code
Account Number
Account Type
Your Address
Collection Instructions
Debit Order Authorisation
Interval
Is this limited to fixed amounts, or to debits due in future that may vary?
Once off transaction
Collection date
Amount
Recurring transactions
Continue indefinitely until cancelled by Debtor?
1st Collection Date
Day of Month thereafter
(1-31)
Escalation month
Amount
Annual escalation
If not indefinitely
Insert the number of deductions
Final date
Last month of deductions
If weekly
I / We, the above mentioned and undersigned, hereby authorise StratCol to collect by debit order from the above mentioned bank account, all amounts due in terms hereof and to pay same to the Stratcol User above. (I confirm that I / we are the person(s) with signature authority as registered with my / our bank).
Read More: Applications
Pay Your Once Off Fee Today
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Contact Details

  • Email: info@armorfs.co.za
  • Tel: 012 383 2650
  • 081 788 1552
  • Fax: 086 606 5279
  • 580 Rood Street Hermanstad Pretoria 0082

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