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Debit Order Forms

Please PRINT OUT the form, complete and return to:

Bestmed, PO Box 2297, Pretoria, 0001
Fax: +27 (012) 472 6500
E–mail: service@bestmed.co.za
 
Debit Order-Bestmed Contributions
Pensioner Debit Order
Creditor Details
Permission to Change Banking Details - Member
Permission to Change Banking Details - Service Provider
 
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