<p>Fax cover sheet</p><p>Uwin Iwin Incentives (Pty) Ltd</p><p>Fax: 086 674 0741 Tel: 011 557 5700</p><p>______</p><p>To: Attention:</p><p>Pages: Fax:</p><p>From: Uwin Iwin Incentives Date:</p><p>Subject: BCX Awards Points Purchase</p><p>______</p><p>Dear Participant</p><p>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.</p><p>Uwin Iwin herewith confirms that you may purchase additional points to make up the balance required.</p><p>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,</p><p>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.</p><p>Kind regards</p><p>BCX Administrators ------To: Uwin Iwin Incentives Attention: BCX Administrators</p><p>Pages: Fax: 086 674 0741</p><p>From: Date:</p><p>BCX Rewards Points Purchase Confirmation</p><p>Personal Information</p><p>Name : ______</p><p>Surname : ______</p><p>Telephone : ______</p><p>BCX Username : ______</p><p>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.</p><p>Point price of product: ______Points available: ______</p><p>Points needed: _ (min 182) ______Rand Amount required: _ (min R20) _____</p><p>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.</p><p>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</p><p>______Signature Date UWIN IWIN INCENTIVES CREDIT CARD PAYMENT FORM</p><p>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)</p><p>I, hereby give Uwin Iwin Incentives permission to debit my credit card as per the above details.</p><p>My credit card details are as follows:</p><p>Credit Card Number CVV (Last 3 digits on back of card) Expiry Date Full Name (as it appears on card) ID Number</p><p>Yours Faithfully</p><p>…………………………………. Signature of Card Holder</p><p>OFFICE USE ONLY: FILE NO: </p>