Please note fees increase on the 1st of April 2024 for all members.
Household Membership : R375 per household p/m. By submitting this form you are applying for CMR Membership which includes the cost of the CMR’s rapid advanced life-support paramedic response service and any treatment and medical consumables used in treatment.
Do you want CMR Ambulance Transport Cover at R160 per household p/m? If you select not to take this cover the cost of the ambulance transport is not included.
Please email their name, date of birth and phone number to email@example.com or make use of the co-members field above if you have their details to hand now.
Immediate cover. I agree to pay pro-rata for the joining month by once-off debit on the date of commencement of this membershipPlease contact me to discuss a different start date and/or a different payment method for the first month.
1st of month15th of month
By submitting this form, I/we agree to subscribe to the service 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. All prices increase on the 1st of April each year.
I/we hereby authorize Cape Medical Response to debit my/our account with the total monthly premium indicated above. I/we understand that a charge of R110 will be levied for any debit-order non-payment/s.
Please note this form will only be sent if you have ticked the "I'm not a robot" box above AND clicked on the "submit" button below.
Should you not hear from us within 24 working hours something is not right - please call Mark on 082 851 7645 or email firstname.lastname@example.org