Pre-authorise application ID Number Name Surname Desired Facility Estimated instalment R150 x 18 months R150 x 18 months Gross Salary Monthly Expenses Cell Email Employment contract Employed Full-time Employed Part-time Employed - Temporary Self Employed Homemaker Retired Unemployed On benefits Do you wear spectacles? No Yes Don't miss out! Can we keep you in the loop on occasional MediWallet Accounts deals and offerings? No Yes Next By clicking "Next" you give FeverTree Finance permission to perform required credit checks