24 HR EMERGENCIES 082 782 4444 OR 021 782 4444

24-HR EMERGENCIES

082 782 4444

021 782 4444

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CMR
EMERGENCY
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CONTACT

021 782 0606

info@cmr-med.co.za

    I/we herby confirm the purchase of CMRLifeLine unit/s @ R1500 each incl VAT.
    I/we hereby confirm the purchase of CMRLifeLine unit/s @ R1500 each incl VAT.
    I will pay by:

    SMS’s

    Whenever the CMRLifeLine unit is activated, an SMS should go to:
    Please use names of people who live close to the holder, or may know their daily movements.
    I/we understand that CMR’s standard T&Cs apply to all services, that the above service can be canceled at any time on
    one month reciprocal written notice, and that rates increase on the 1st April each year.

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    By submitting this form I/we hereby authorize Cape Medical Response to debit my/our account with the total monthly premium indicated above. Please note that on accounts requiring more than one signatory, proof must be
    provided of authority to sign on behalf of all the account holders.