All the credit you Use your A-Plus Card The A-Plus Club – all these Protect your
The A-Plus Club – all these Protect your family for
need for yourself, wherever the A-Plus logo
for your family, is displayed!
for fashion, for fun.
More affordable!
• You pay a low monthly service fee of only R9.95, which
automatically entitles you to Credit Life Cover. This benefit
covers your account balance up to a maximum of R5 000 per
account, in the event of your death, disability or retrenchment.
For information, call Nedlife on 0860 263 543.
• You pay no interest at all if your account is settled in full each
month.
• At the end of every month you only need to pay the minimum
amount due, or just R25, whichever is greater.
• As an A-Plus Cardholder, your low monthly service fee also
entitles you to a FREE Supplementary Card!
More convenient!
• When you’re carrying your A-Plus Card, there’s no need to carry
cash when you’re shopping at your favourite store.
• You can also use your A-Plus Card at any Ackermans store
nationwide, or any store that displays the A-Plus sign.
• You can pay any way you choose – in-store, by debit order, at any than 3 000 participating doctors nationwide.
Nedbank branch or via the Internet.
• You can give a friend or family member their own A-Plus
Card – and share your account and credit limit.
More secure!
• Carrying your A-Plus Card is much safer than carrying cash.
• You can check your transactions against your detailed
monthly statement.
extras, all yours... for just
R14.50 per month!
Tick the ‘I want to join the A-Plus Club’ box on the
Application Form overleaf!
For you...
• A-Plus Club Magazine every second month – packed with great
reads for everyone.
• EXCLUSIVE Members’ only competitions and giveaways of
up to R25 000 every second month.
• Invitations to exclusive members-only events, workshops and more.
For peace of mind...
• R10 000 in Funeral Cover – up to R6 000 for the Club member,
up to R4 000 for their partner.
• FREE Roadside assistance – get help when you breakdown,
have a flat tyre or battery, run out of petrol, lock your keys in your
car and more – 24/7 anywhere in SA!
For the family...
• The chance to win bursaries to the value of R25 000 in every
issue of the A-Plus Magazine.
• 20% off the cost of GP’s consultations with our network of more
• After-hours Dial-a-Teacher service – get your children the help
they need with schoolwork, studying, projects, exams and more!
PLUS: one phone call to the A-Plus Helpline does it all...
0860 606 606
From a nurse to tell you whether your child’s temperature is too high,
to a lawyer to advise you about a car accident... we have professionals
on call 24/7.
No need to choose benefits – all these are all yours when
you join the A-Plus Club!
less than R2.00 a day!
Get affordable funeral cover for your whole family with the A-Plus
Family Protector Plan, which covers you, your partner and up to five
dependent children for one low monthly premium!
• No medicals required
• Guaranteed acceptance (of up to 65 years of age)
• R10 000 in cover each for the main member and their partner
• Payout doubled to R20 000 in the event of accidental death
• Premiums simply added to your monthly A-Plus Account
• Children are covered for R5 000 each in the case of natural death
All for a monthly premium of only R33.95!
PLEASE NOTE:
The maximum joining age for you and your partner is before your 65th birthday.
Your children are covered up to the age of 21 years, or 25 if they are full-time
students. A-Plus Club members already enjoy free minimum Funeral Cover and
can increase this cover significantly by taking out the A-Plus Family Protector Plan.
A waiting period of 6 months will apply from the date of commencement of the
policy in respect of natural causes. No waiting period for accidental death.
Simply tick the A-Plus Family Protector Plan option box overleaf
and we’ll call you! Alternatively, apply in-store or call us on:
0861 375 878
4211/nov09/sa/e
The A-Plus Protector Plan is arranged exclusively for you by
Ackermans and Hollard Life Assurance Company Limited and is
underwritten by Hollard. Hollard is a licensed Insurer and Financial
Services Provider. Ackermans is a representative of Hollard Life.
 Your Permission Applicant’s Income and Expenditure
Once you’ve completed your A-Plus Application Form Would you like to be informed of exciting new products Yes No APPLICANT SPOUSE

Card Application Form – fax it back Nedbank is a registered credit provider with reg number: 1951/000009/06
and special offers regarding your financial needs?
Would you like to receive special offers negotiated by us? Yes No
Gross monthly income: R R

to us as soon as possible and you NCR Registration Number: NCRCP16

May we ask your opinion on how we are doing from Yes No
Other income: R R
time to time via telephone?
could start spending in no time! Please hand your application together with a copy of your ID and latest payslip in
at your nearest store or fax to 0861 102 052. May we adjust your credit limit annually? Yes No
Salary deductions: R R
Debit and account obligations: R
For administration purposes only Please tick which channels you Residential Telephone SMS Postal Email

Store name: Store no: would prefer us to use when Address Address
Living and household expenses: R
To apply for your A-Plus Card, simply fill in the Card Application Form communicating the above
Ackermans Shoe City with you.
Total combined income after expenses: R
alongside and fax it to 0861 102 052, or hand it in at your nearest
A-Plus store, together with a copy of your ID and latest payslip. Your Contact Details
I want to join the A-Plus Club Yes Payment Requirements
Residential Address:
I would like more information about the A-Plus Yes No
Remember, as an A-Plus Cardholder, you’re always first in line Family Protector Plan.
Please complete this section if you would like to pay by debit order.
Suburb:
Would you like to pay by Debit Order? Yes No
for a range of fantastic benefits – so complete and return this In order to qualify for the A-Plus Card, you must: City:
• BE OVER 18 • BE A RESIDENT OF SOUTH AFRICA Select amount to be debited Minimum Payment Total Payment
application today! Postal Code: Country:
Are you under administration? Yes No Account to be debited on: Due Date Statement Date Specific Date D D
Postal Address:
Have you had your debt reviewed and consolidated Yes No
Share your credit limit and spoil by a debt cousellor?
Suburb:
Your Financial Information
your loved ones with an A-Plus Has your spouse had his/her debt reviewed and
consolidated by a debt counsellor?
Yes No
City:
Account Name:
Supplementary Card! At which store would you like
to pick up your new card?
Postal Code:
Residential Status: Own
Country:
Rent Other Bank Name:
Branch Name:
Once your account has been approved and you have been issued Live with Parent(s) Live with employer
Branch Code:
with an A-Plus Card, you’ll be able to share your account and credit Your Personal Details Period at current address (years):
Account Number:
limit with friends and family by giving them a Supplementary Card! Telephone / Contact Numbers:
Title: Gender: Male Female
Home:
You’ll need to complete a Supplementary Card Application Form, Surname:
Work: Time with banks (years):
which you’ll find in your A-Plus Welcome Pack or, of course, you First name(s):
Cell: Type of Account: Current/Cheque Savings Transmission
can pick one up and complete it in-store! Or fax your completed ID Number or Passport Number:
Email:
Application Form to 0861 102 052!
Store card account agreement and confirmation
Date of Birth: D D M M Y Y Y Y Your Employment Details I, the undersigned applicant warrant that I have answered all the questions and requests for information

Give the gift of choice! Preferred language: English Afrikaans

APPLICANT SPOUSE
fully and truthfully as part of this assessment process. I hereby confirm that I have fully disclosed my debt
repayment history. Therefore, the information supplied above is true and correct. I agree that:
Marital Status: Single Divorced Widowed
Occupation:
– The Card, including the Supplementary Card, is issued subject to the relevant provisions of the Bank’s
standard terms and conditions of use, which I have read before submitting this application.
Looking to spoil someone with the perfect Married Married Married Customary Civil
Separated Contract Contract
– The dispatch of the Card by the Bank in Johannesburg shall constitute the Bank’s acceptance of this
COP OCOP OCOP Law Union Type of employment: Permanent worker Permanent worker application.
– I am jointly and severally liable with the Supplementary Card member as co-principal debtor in terms of the
gift? Buy an A-Plus Gift Card in-store and Incl. Accrual Excl. Accrual
Pension Self- Pension Self- standard terms and conditions of use.
employed employed
Date of Marriage: D D M M Y Y Y Y
load the amount you want to spend. Casual Un- Casual Un-

Number of Dependants:
worker employed worker employed D D MM Y Y Y Y
A-Plus Gift Cards are available at How long have you been at MM Y Y MM Y Y Signature of Applicant Date of Signature
Highest Education: Matric Degree Post-Grad Other your current job?
ANY Ackermans store – and with
Period at previous employer? MM Y Y MM Y Y
a whole host of unique designs
If Married COP, please complete the following section regarding spouse’s details: D D MM Y Y Y Y
Name and street address of present employer: Signature of Spouse (if married COP) Date of Signature
you can choose the perfect Title: Gender: Male Female
The A-Plus Card is issued and administered by Nedbank Limited, Reg No. 1951/000009/06
Surname:
card to suit any occasion! We subscribe to the Code of Banking Practice of the Banking Association South Africa and, for unresolved
First name(s): disputes, support resolution through the Ombudsman for Banking Services. Nedbank is an authorised financial
services provider.
ID Number or Passport Number:
For store use only

Store Assistant:
Work:
ID Verified Supervisor:
Cell: