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Principal Member
Select Your Cover Plan
Single Cover Ages: 18 - 64
  • R10 000 Cover

    Month Premium

    R65

  • R15 000 Cover

    Monthly Premium

    R100

  • R20 000 Cover

    Monthly Premium

    R150

  • R30 000 Cover

    Monthly Premium

    R190

Month Premium
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Single Cover Ages: 64 - 74
  • R10 000 Cover

    Month Premium

    R180

  • R15 000 Cover

    Monthly Premium

    R250

Month Premium
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Single Cover Ages: 75 - 84
  • R10 000 Cover

    Month Premium

    R320

Month Premium
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Family Cover (Ages: 18 - 64) Spouse + 5 Children
  • R10 000 Cover

    Month Premium

    R120

  • R15 000 Cover

    Monthly Premium

    R150

  • R20 000 Cover

    Monthly Premium

    R205

  • R30 000 Cover

    Monthly Premium

    R295

Month Premium
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family Cover (Ages: 65 - 74) Spouse + 5 Children
  • R10 000 Cover

    Month Premium

    R270

  • R15 000 Cover

    Monthly Premium

    R385

Month Premium
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family Cover (Ages: 75 - 84) Spouse + 5 Children
  • R10 000 Cover

    Month Premium

    R350

Month Premium
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Traditional Cover (Ages: 18 - 64) 1 Member + 5
  • R10 000 Cover

    Month Premium

    R150

  • R15 000 Cover

    Monthly Premium

    R220

  • R20 000 Cover

    Monthly Premium

    R290

  • R30 000 Cover

    Monthly Premium

    R350

Month Premium
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0.00
Traditional Plan Cover (Ages: 65 - 74) 1 Member + 5
  • R10 000 Cover

    Month Premium

    R240

  • R15 000 Cover

    Monthly Premium

    R300

  • R20 000 Cover

    Monthly Premium

    R400

  • R30 000 Cover

    Monthly Premium

    R520

Month Premium
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0.00
Traditional Plus Plan (Ages: 18 - 64) 1 Member + 9
  • R10 000 Cover

    Month Premium

    R230

  • R15 000 Cover

    Monthly Premium

    R320

  • R20 000 Cover

    Monthly Premium

    R350

Month Premium
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0.00
Traditional Plus Plan (Ages: 65 - 74) 1 Member + 9
  • R10 000 Cover

    Month Premium

    R250

  • R15 000 Cover

    Monthly Premium

    R380

  • R20 000 Cover

    Monthly Premium

    R410

Month Premium
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0.00
Traditional Pro Plan (Ages: 18 - 64) 1 Member + 13
  • R10 000 Cover

    Month Premium

    R250

  • R15 000 Cover

    Monthly Premium

    R340

  • R20 000 Cover

    Monthly Premium

    R400

Month Premium
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0.00
Traditional Pro Plan (Ages: 65 - 74) 1 Member + 13
  • R10 000 Cover

    Month Premium

    R380

  • R15 000 Cover

    Monthly Premium

    R440

  • R20 000 Cover

    Monthly Premium

    R550

Month Premium
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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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Add Dependances
These are the people covered in your policy.

Beneficiary
This is the person the payout will go to inevent you pass away.
Add Beneficiary
Your monthly payment
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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 indefinately 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).
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