From: Uwin Iwin Incentives Date

Fax cover sheet

Uwin Iwin Incentives (Pty) Ltd

Fax: 086 674 0741 Tel: 011 557 5700

______

To: Attention:

Pages: Fax:

From: Uwin Iwin Incentives Date:

Subject: BCX Awards Points Purchase

______

Dear Participant

You have expressed the desire to purchase a product from the BCX catalogue that requires more points than what you currently have available to spend.

Uwin Iwin herewith confirms that you may purchase additional points to make up the balance required.

You may deposit the agreed amount into Uwin Iwin’s account directly (banking details on form below). We will then need you to complete the attached form and fax / email it back to us with a copy of your deposit confirmation slip. (Fax number appears on the form that needs to be completed / email address [email protected]). Alternatively you may supply us with your credit card details and we will debit the amount,

Once Uwin Iwin Incentives receives the monies in our bank account, your purchased points will be allocated as points on your BCX account within 24 hours.

Kind regards

BCX Administrators ------To: Uwin Iwin Incentives Attention: BCX Administrators

Pages: Fax: 086 674 0741

From: Date:

BCX Rewards Points Purchase Confirmation

Personal Information

Name : ______

Surname : ______

Telephone : ______

BCX Username : ______

Every additional point required will cost you R1.00. A delivery fee of 130 points needs to be added for the BCX Gift Cards as it is not included in the price of this particular product.

Point price of product: ______Points available: ______

Points needed: _ (min 182) ______Rand Amount required: _ (min R20) _____

I hereby confirm that the total amount needed has been deposited into the following account. Enclosed, please find a copy of the deposit slip as proof of payment.

Uwin Iwin Incentives Banking Details: Account Name : Uwin Iwin Incentives (Pty) Ltd Bank Name : Nedbank Branch : Rivonia Branch Code : 196-905 Account Number : 1969-074-108

______Signature Date UWIN IWIN INCENTIVES CREDIT CARD PAYMENT FORM

Date Name of Cardholder Username of participant ZAR to be debited This amount 6% Transaction Fee on above total Plus this amount TOTAL ZAR to be debited Equals this amount Type of Card (MasterCard / VISA)

I, hereby give Uwin Iwin Incentives permission to debit my credit card as per the above details.

My credit card details are as follows:

Credit Card Number CVV (Last 3 digits on back of card) Expiry Date Full Name (as it appears on card) ID Number

Yours Faithfully

…………………………………. Signature of Card Holder

OFFICE USE ONLY: FILE NO: