THE RAINBOW
Funerals & Tombstones – Membership Application
Main Member Full Names & Surname
Main Member ID Number
Contact Number
Email Address
Main Member Address
Burial Plan (Please Tick)
Standard Plan + 5
Standard Plan + 9
Standard Plan + 13
Elegance Plan + 5
Elegance Plan + 9
Silver Plan + 5
Silver Plan + 9
Gold Plan + 5
Gold Plan + 9
New Member
Amendment
Dependants
#
Names and Surname
ID No.
Relation
Submit Application