KIARANIX Pty Ltd Cashless card Vehicle finance
Kiaranix card

Card application

Full name/Company name:


Card No: (for office use)




Mobile number:




Physical Address:






Quantity of cards required __________

Cost of a card R 150.00
Monthly admin Fee R 20.00 on active cards only.


Signature                          Date

_________________              _________________________

Please print the application form and mail it to us with all the required information. It takes 10 working days to process and print the cards after the application has been received and payment has been confirmed:

The only card with a difference, available to all.