Standard Instruction Golden Mile Plan Membership Application

Standard Instruction Golden Mile Plan Membership Application

VR/05/22
WEB APPLICATION
If you have been dealing with an INVESTGOLD Broker/Consultant, please provide his/her name:
Where did you hear about us? *
Please enter your location, town/city? *
Step 1

Provide your personal details
Name *

First Name Last Name
Email *
example@example.com
Cell Number *
Please enter a valid phone number.
Alternative Number
Please enter a valid phone number.
ID Number *
Physical Address (Domicilium citandi) *

Street Address

Street Address Line 2

City Province

Postal Code
Postal Address (if different from physical address)

Street Address

Street Address Line 2

City Province

Postal / Zip Code

Emergency Contact (Please provide us with the details of next of kin) *

First Name Last Name
Phone Number (Please provide us with the details of next of kin) *
Please enter a valid phone number.

Step 2

Choose an option plan that suites your needs (If you select a monthly premium of R500 or more, you will receive a FREE 1 Oz SILVER BULLION after your 3rd successful debit order payment. (T&C's apply)
Select your monthly premium: *
Annual premium increase %:
Select only one of the plans below:
SILVER BULLION (Silver Krugerrands & other silver bullion) PRECIOUS METALS COMBO (Gold, silver, platinum & palladium bullion combination set) GOLD BULLION (Gold Krugerrands) GOLD/SILVER COMBO (Gold & Silver Krugerrand/Bullion combination (70% Gold : 30% Silver)
Minimum premium starting from R500+ per month:

SUPERIOR COMBO (Gold, silver, platinum & palladium bullion & Limited edition coins/medallions)
Special request:
Select the day of the month for debit order *
Select the date you would like to start your first debit order *

Month Day Year
Date
Step 3

Complete the bank debit order authority
Account Holder Name *
Bank: *
Account Type *

Savings Account Cheque Account Business Account
Account Number: *
Branch Code: *
PLEASE NOTE:
- A client receives a 1 Oz Silver Bullion for free after 3rd successful debit order payment of R500+ per month (may collect);
- The 1st debit order payment will be ‘locked’ and only made available after successful completion of full 5 year Golden Mile Plan contract term;
- If a client cancels the Golden Mile Plan contract within the 5-year term period, or INVESTGOLD does so due to client being in breach of contract, the 1st debit order payment which has been ‘locked’ becomes the property of INVESTGOLD and used towards administrative costs;
Client agrees to the above cancellation policy *

Accepted

INVESTGOLD is herewith instructed and authorised by me First Name & Surname* to select and purchase on the market on my behalf any type of coins/medallions/bars or portions thereof, in the specific series/plan selected by me, by means of utilizing my monthly Golden Mile Plan premiums/funds to pay for such on my behalf.

I was informed by INVESTGOLD and understand that supply and demand determines buying and selling prices and that INVESTGOLD cannot be held liable for any poor performance of products purchased as INVESTGOLD does not dictate market conditions. No investment advice was given to me by any of INVESTGOLD personnel.

I may sell any of my coins/medallions/bars or portions thereof to INVESTGOLD or any other interested party once I accept the buyback price offered to me. INVESTGOLD needs not contacting me with every transaction as I herewith provide the needed instruction and authorisation to INVESTGOLD to make use of my monthly Golden Mile Plan premiums/funds on my behalf to select products in the specific plan and series selected by me.
Definitions:

‘portion(s) meaning portions in products made available via INVESTGOLD’s Co-Ownership plans. One portion is equal to the value of 1% of a coin, medallion or bar;

‘product(s) meaning a coin, medallion, bar or portion thereof;

‘plan(s) meaning ‘Gold Bullion’, ‘Silver’ and ‘Custom’ whereas each plan has its own selection of specific percentages allocated to a specific series to be utilised;

'Gold Krugerrands' meaning legal tender bullion gold coins (1 Oz, 1/2 Oz, 1/4 Oz and/or 1/10 Oz denominations) minted in South Africa reflecting the word ‘Krugerrand’;

'Silver' meaning any silver coin/medallion/bar

'Rare Coins' meaning any limited edition gold, platinum, palladium or silver coin/medallion/bar

"Precious Metals Set' meaning the complete set consisting of gold, silver, platinum & palladium

Step 4

Sign for Debit order and GMP Acceptance
I/we hereby request and authorize INVESTGOLD to draw against my/our account with the above-mentioned bank or any other bank or branch I may have or to which (state the amount in words) I/we may transfer my/our account the Rand sum of   Enter the amount in words*   or any variable amount pertaining to this agreement on the
*   of each month. This being the amount necessary for the settlement of the monthly amount due to INVESTGOLD in respect of my/our purchases/contract/agreement dated   Date*   DD/MM/YYYY All such withdrawals from my/our account by INVESTGOLD shall be treated as though they had been signed by me/us personally.

I/we the undersigned "instruct" and authorize INVESTGOLD’s agent Netcash (Pty) Ltd, to draw against my/our account. I/we understand that if bank details have been supplied the withdrawals authorized here will be processed by Netcash. I/we also understand that details of each withdrawal will be printed on my/our statement.

I/we agree to pay any banking charges relating to this debit order instruction.
This authority may be cancelled by means of giving INVESTGOLD thirty days notice in writing will be supported by an official bank confirmation letter submitted seven days before the next debit orders. I/we understand that I/we shall not be entitled to any refund of amounts, which INVESTGOLD has withdrawn whilst this authority was in force if such amounts were legally owing to INVESTGOLD.

I/We acknowledge that the party hereby authorized to effect the drawing(s) against my/our account may not cede or assign any of its rights and that I/we may not delegate any of my/our obligations in terms of this contract/authority to any third party without prior written consent of INVESTGOLD management.

First Name*   Last Name*   Date*   Signature*

I confirm that all information supplied by me is true and correct and herewith accept INVESTGOLD’s Standard Instruction Authority Golden Mile Plan (SIGMP) Terms & Conditions (SIGMP T&C) which I have read, understood and which has been explained to me. I am aware that as defined in the SIGMP T&C's document and following the clause references:

2.1 INVESTGOLD is the party with whom I am contracting;
2.2 I am the client referred to therein;
2.3 this is the application form referred to in clause 2.3;
2.4 the products are coins/medallions/bars or portions thereof as chosen by me from the GMP product schedule as defined in the GMP terms and conditions made available to me at the time of purchase;
2.5 GMP broker will be assigned as my consultant with whom I have been dealing;
2.6 the option entitles me to choose coins/medallions/bars or portions thereof when I have paid sufficient funds in my account to INVESTGOLD in terms of the agreement entitling me to do so;
2.7 I am liable to pay all the admin charges as defined;
2.8 the contract term has been agreed at 5 years
2.10 I will in due course choose from the product schedule as defined in clause 2.10;

5.2 INVESTGOLD will forward to the client (a) a copy of the INVESTGOLD Standard Instruction Authority Golden Mile Plan Terms & Conditions (SIGMP T&C) and (b) a Golden Mile Plan Certificate reflecting the contract. The Client may terminate the contract by submitting a written cancellation within 14 days after the first successful monthly payment via debit order. Note that clause 7 will immediately take effect, but INVESTGOLD will take no further action against the client for cancelling the contract and the client will not be held liable for any further monthly payments.

By making this application I acknowledge that in all my business dealings with INVESTGOLD the terms and conditions reflected in the (a) INVESTGOLD Standard Instruction Authority Golden Mile Plan Terms and Conditions (SIGMP T&C) and in (b) INVESTGOLD Standard Terms and Conditions (as amended from time to time) will apply to and bind me and be adhered by me. In the event of there being any conflict between the (a) INVESTGOLD Standard Instruction Authority Golden Mile Plan Terms and Conditions (SIGMP T&C) and (b) INVESTGOLD Standard Terms and conditions (as amended from time to time) then the provision of the former document will apply.

The (a) Standard Instruction Authority Golden Mile Plan Terms & Conditions (SIGMP T&C) and (b)INVESTGOLD Standard Terms & Conditions apply and are available on request and also on www.investgold.co.za

First Name*   Last Name*   Date*   Signature*
Documentation

Both of the following copies must be sent with this application: (If you don't currently have a copies of your documents, please submit within 24 hours)
1. Identification document

Green ID book
Cancel of
2. Proof of Residence (utility bill or other document with your name and address)

Cancel of
IMPORTANT: When you sign this Acceptance Form and return it to us:
- You agree that you have read and understand all the INVESTGOLD Standard Instruction Authority Golden Mile Plan Terms and Conditions (SIGMP T&C) and (b) INVESTGOLD Standard Terms and conditions.
- You accept the INVESTGOLD Standard Instruction Authority Golden Mile Plan Terms and Conditions (SIGMP T&C) and (b) INVESTGOLD Standard Terms and conditions; and
- You make warranties to us.
INVESTGOLD | Atrium on 5th, 2nd Floor West Towers, 5th Street, Sandton, JHB

011 486 1196 (JHB) | 044 877 0339 (GRG) | sales@investgold.co.za | REG: 2014/200689/07 | VAT: 4890221775
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Standard Instruction Golden Mile Plan Membership Application

Step 1

Step 2

Select only one of the plans below:

Step 3

Step 4

Documentation