Application Form

How long have you been involved in the specified business

What was your average monthly sales/earnings (before costs) over the last 6 months?

If your business involves the purchase of stock, what was your average monthly stock purchase over the last six months?

Do your earnings or sales get paid into your main bank account?

Do you make stock purchases from this same account?

What is the reference code you use to indicate purchases from the brand you distribute for?

Please indicate other means to identify stock purchases made on your bank account.

Please upload latest 3 months bank statements of the account you conduct your main line of business from

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Please upload your last 3 supplier invoices (if available). Although this step is optional, providing us with these documents will increase the chances of your application being approved.

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Would you like an individual or family funeral cover plan?

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