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*Required Fields

*South African ID number:

Only customers with a valid South African ID number can apply for a Rage account

*First Name:

*Surname:

*Monthly Income:

*Cellphone Number:

Rage Staff Clock Number (for in-store applications only):

By filling out the above account application form you agree to sharing your Personal Information with Rage and are subject to our Privacy Policy. Should your application be approved, you will automatically be listed on the Credit Bureau. Activate and collect your FREE Rage account card in store.

I acknowledge that I have read, understand and agree to the Terms and Conditions

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