Rewards Program Registration "*" indicates required fields Full Name* First Last Email* Mobile Number* Gender*Gender *MaleFemaleSA ID Number* Address* Street Address Complex (Unit Number and Complex Name) Suburb and City Province *GautengFree StateMpumalanga Province Postcode At which store would you like to collect your card?*Select a store hereBlue HillsBoksburgCenturion (Lyttelton)Centurion (Zwartkop)DainfernDouglasdaleEdenglenElardus ParkFaerie GlenHoney JunctionLindenMagalieskruinMenlo ParkNinaparkNoordheuwelPark MeadowsSilvertonAt which store would you like to collect your card?*Select a store hereCollege SquareFleurdalLangenhoven ParkPreller PleinAt which store would you like to collect your card?*Select a store hereWitbankReceive program news via email?* YES NO Receive program news via sms?* YES NO T&C's* Yes, I have read and agree with the terms and conditions. * CAPTCHAHiddenStore Email Address (Gauteng) HiddenStore Email Address (Free State) HiddenStore Email Address (Mpumalanga) Unique IDCommentsThis field is for validation purposes and should be left unchanged.