Designated Driver SA

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PERSONAL DETAILS

Title:

Name:

Surname:

ID Number:

Cell Number:

Home Number:

Email Address:

Home Address:

SECONDARY MEMBERS

Secondary members may only be family members of the primary member , all charged incurred on the secondary members account will be charged to the primary members account. Secondary members are charged R40.00 per member per a month.

Number of Secondary Members:

BANK DETAILS

Account Holder's Name:

Bank Name:

Branch Code:

Account Number:

Account Type:

AGREEMENT

Total amount due every month: R140.00 + R40.00 per secondary member

Yes I the applicant/client hereby irrevocably agree to and accept the Terms and Conditions,rates and indemnity and limitation of liability . I hereby instruct and authorize Designated Driver SA to debt my bank account every month for the total amount due.

OPERATING HOURS

Monday - Thursday	8:00am - 1:00am
Friday - Saturday	4:00pm - 3:00am
Sunday	4:00pm - 00:00am

SERVICE AREA

Trip Distance	DDSA Price	Competitor 1	Competitor 2
10km	R160.00	R217.75	R186.00
20km	R200.00	R242.00	R282.00
30km	R250.00	R424.50	R392.00
40km	R330.00	R566.00	R502.00

BECOME A MEMBER

PERSONAL DETAILS

SECONDARY MEMBERS

BANK DETAILS

AGREEMENT

Your Ride, Your tunes, You are safe.