KIARANIX Pty Ltd Cashless card Vehicle finance
KIARANIX Pty Ltd
Kiaranix card

Card application




Full name/Company name:


____________________________________________


Card No: (for office use)

____________________________________________

 

 

Mobile number:

_______________________________________

 

 

Physical Address:

________________________________________

 

________________________________________


Email:__________________________________

 

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: info@kiaranix.com

The only card with a difference, available to all.