082 782 4444
021 782 4444
021 782 0606
By submitting this form, I/we agree to subscribe to the service for two years in accordance with CMR's Standard Terms & Conditions which are available on request and on CMR's website: www.cmr-med.co.za I/we confirm that I/we have read and understood the terms and conditions and agree to the terms thereof.
I/we hereby authorize Cape Medical Response to debit my/our account with the total monthly premium indicated above, and in the starting month
indicated above. I/we understand that a charge of R120 will be levied for any debit-order non-payment/s.
24-HR Medical emergencies: 082 782 4444 or 021 782 4444
Office: 021 782 0606
106 Kommetjie Road, Fish Hoek, 7975.
CAPE MEDICAL RESPONSE CC Registration No: CK 2001/013020/23
Terms & conditions