For your convenience, kindly complete the enquiry form below and we will contact you to discuss your unique needs and what the next step should be! 
Are you an Iemas Member ?
 
Yes
No
 
 
 
Iemas Membership Number
 
 
 
 
ID or Passport*
 
ID Number
Passport Number
 
 
 
ID Number (SA Citizen) *
 
 
 
 
Passport Number (If not SA Citizen)*
 
 
 
 
Title
 
 
 
 
First Name*
 
 
 
 
Surname*
 
 
 
 
Name of Employer
 
 
 
 
Date of Birth (MM/DD/YYYY)*
 
 
 
 
 
Citizenship
 
 
 
 
Email Address
 
(should you not have an email address SMS ‘Enquiry’ to 32297 and we will call you back. SMS costs R1)*
 
 
 
 
Contact Number*
 
 
 
 
 
Please choose the product/service(s) you are interested in:
 
 
 
 
General Enquiry
 
 
Vehicle Finance
 
 
 
Short term insurance
 
 
Funeral Cover
 
 
 
Purchase Card
 
 
Loans
 
 
 
Life Insurance
 
 
 
 
 
 
 
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