PPS Subscriber Application Form

NOTE:

  1. All sections are to be completed
  2. All information supplied is confidential unless agreed in written format.
  3. One form per subscriber

Please read the Subscriber Terms & Conditions and PPS Code of Conduct before proceeding with this form.

Personal Information

Required for authentic subscriber certification.
Complete as per employer / own company information as contact points

Professional Information

Current Employment

If you are not sure of the exact date, select any date in the month of appointment
(unless you are the business owner)
Required to determine a total subscriber annual spend for further benefits to be offered in future.

Previous Employment

Required if less than three (3) years in current company

If you are not sure of the exact date, select any date in the month of appointment
If you are not sure of the exact date, select any date in the month of appointment

Invoicing Information

The PPS Subscriber Fee is R5000.00 per annum

Agreement & Terms & Conditions

Please ensure that the subscriber has read and agrees to the Subscriber Terms & Conditions and PPS Code of Conduct.