COMPETITION OFFICE

ADDRESS

P.O.Box 561
Green Point 8051
Tel: (021) 439-5339
Fax: (021) 434-5747
Web site: go.to/redcrossevents


The South African Red Cross Society

(Western Cape Region)

R20,000

MONTHLY DRAW ENTRY FORM

NLB Reg. No: 00020

Mr/Mrs/Ms Bus:

Address: Tel.

Tel.

Code: Fax.

E-mail Address:

WIN R20 000 CASH EACH MONTH ! ! !

The S A Red Cross is constantly involved in disaster relief and humanitarian aid (i.e. Fires, floods, homeless and missing persons) and increasingly involved in improving the quality of life and easing the suffering of mothers and babies infected with HIV/AIDS. The society relies solely on private funding, so your monthly pledge of only R50 (or an up front annual pledge of R600) will go a long way in assisting us with these needy projects. You in turn stand an excellent chance to win R20,000 cash each month. It is possible to win more than once, as you are still eligible for the remaining draws pledged even if you have already won. The draw takes place monthly under the supervision of the auditors, KPMG. Winners will be notified telephonically.

For further details call (021) 439-5339 or complete this pledge form and fax to (021) 434-5747.

Pledge Options

Annual Payment(A)

By pledging R600 to the Red Cross, you qualify for 12 months entry into the R20 000 monthly draw PLUS 12 months entry into the *MONTHLY BONUS DRAW* detailed below.

1st Prize R 2 000 2nd Prize R 1 000

3rd & 4th Prize R 500 4 x R 250 each

Annual Payment options:

ÿ R600 (1 entry) ÿ R1,200 (2 entries) ÿ R1,800 (3 entries)

1.  C/Card. Exp.

2.  Electronic Transfer/Direct Deposit to:

Standard Bank, Wynberg (Cape)

Acc. No. 07-175-0460

Branch Code. 02-53-09-17

FAX COPY TO (021) 434-5747

3.  Post cheque (together with this entry form) made payable to: S A Red Cross Society Pledge P.O.Box 561,Green Point 8051


Monthly Payment(M)

Pledge only R50 each month by debit order for a minimum of 12 months and put yourself in line to win R 20 000 cash each month.

DEBIT ORDER ONLY

I wish to pledge by debit order (indicate number of entries)

ÿ R50 (1 entry) ÿ 2xR50 (2 entries) ÿ 3xR50 (3 entries)

on the first working day of 2003 and each month thereafter for a minimum of 12 months.(please notify us in writing should you wish to discontinue pledging after 12 months.)

Indicate type of account. – Cheque/Transmission

(Credit cards excluded)

Name of Bank

Branch Code

Account No

Signature Date