Sign up to become an associate EFT – The Digital Southern Cross

If you wish to sign up to become a Southern Cross Associate, but prefer to do your own EFT, please fill in the form below and use the following banking details. Account Name: The Southern Cross, Standard Bank Thibault Square, branch code: 02 09 09, Account no: 276 876 016. Please use Southern Cross Associate + YourSurname as the beneficiary reference. Please email proof of payment to

Southern Cross Associates Campaign Contribution EFT

Name(Required)

First Last

Email(Required)

Contact number

Use international phone number format eg 27 11 xxx xxxx or for cellular 27 82 xxx xxxx

Address

Street Address Town City State / Province / Region ZIP / Postal Code Country

Amount you wish to contribute

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