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HOME
ON AIR
Streaming
Audio Streaming
Video streaming
Content
Impact Podcasts
Focus on the Family
Word for the day
Digital resource hub
In the studio
Impact Line-up
Impact Presenters
Impact Podcasters
IMPACT APP
NEWS
Events
Community Events calendar
Submit an event
Jobline
Community Jobline
Advertise a job
News
Local & World news
ADVERTISE
CLUB CARD
About
Apply here
Update your details
Section 18A details
ABOUT
Broadcast Profile
Podcast Studio
Banking Details
Complaints Procedure
Christianity
Statement of Faith
Counselling
CONTACT
DONATE
Listen live here
Impact 103 Clubcard Application
Impact 103 Club Card - New application
Please complete the Impact 103 Club Card membership form or contact us directly:
New applicant details
Title
*
Initials
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First Name
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Last Name
ID number OR Date of birth
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Cell number
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Email Address
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Postal address
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Postal code
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Debit order details
I authorise Impact103 and my bank named below to charge my account either monthly or annually - as stipulated below - on one of the below mentioned dates. This will remain in effect until I give written notice to cancel it.
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Branch code
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Bank account number
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Type of bank Account (e.g savings)
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Date of deduction
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Date of deduction
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