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LOYALTY CARD TERMS AND CONDITIONS           CARD NO: ..


TITLE . INITIALS ..... SURNAME ........ ID ...................

STREET ADDRESS ......................................

POSTAL ADDRESS ......................................

HOME TEL ........ WORK TEL ........... CELL  ..................

E-MAIL ................................   


-  Loyalty points are awarded to Loyalty Card holders with every payment.
-  Loyalty points accumulate with every payment.
-  The Loyalty Card is not a credit card or a debit card.
-  The Loyalty Card may only be used at SOUTHERN CROSS VETERINARY
   CLINIC.
-  The card has to be presented to be swiped to accumulate loyalty points.
-  Loyalty points can be redeemed in the form of discount on veterinary 
   services only (consultations, vaccinations, surgeries).
-  The exchange rate for loyalty points is 1 LOYALTY POINT FOR 1 RAND.
-  Loyalty points can not be redeemed in the form of cash.
-  There is no interest on loyalty points.
-  Loyalty Card holders have to redeem their loyalty points during a
   subsequent transaction.
-  Loyalty points are for cash and current accounts. If loyalty points are not
   redeemed and a Loyalty Card holder has outstanding debt, the loyalty
   points will expire as soon as the age of the debt becomes 30 days old or
   more.
-  Loyalty Card holders give Southern Cross Veterinary Clinic permission to
   send them promotional material but Southern Cross Veterinary Clinic 
   will not divulge details to anybody else for marketing purposes.
-  Lost or broken Loyalty Cards will be replaced for the amount of R10 each.





I,  ......................... agree to the terms and conditions stated above.
                     (name)



...............                ............                                          
            (date)                                            (signature)