Welcome to the uMarketing website

Your online portal for Digital, Events, Design and Corporate Clothing Order requests.

"*" indicates required fields

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Home Page

Please select the relevant form that you'd like to submit from the list below:*

Complete this form when you need to order gifts and or promotional items for an event or client. Please provide specific details to enable us to action timeously and ensure that the request has been authorised by the appropriate Divisional Head or Manager.

Please complete this form to allow us to arrange your function or event successfully. Please use this form when requesting an event for staff or a client event, e.g. a Golf Day, Sponsorship Event, Scheme Strategic Session, Client Lunch, etc.

Use this form when you require a Scheme and or Universal branding for an event you are hosting e.g. a golf day or wellness day or a client lunch.

Use this form when you are returning Universal and / or Scheme branding / collateral.

This form is to be used when you would like to submit a request to the Design department.

Complete this form if you would like to request a web seminar. This is used to share knowledge, ideas and updates.

Complete this form if you would like to request any changes/removals of something on an existing website.

A survey is a form with questions, specifically designed to gather information about a company, a product, customer experiences, preferences, wants, and needs. Utilise this form to assist you to better understand your client!

Complete this form if you would like to request any changes/removals of something on an existing mobile application.

In the event of any services being required from Martina Nicholson and Associates (MNA) kindly fill in the relevant service request by marking the sections applicable.

Kindly complete this

CAPTCHA

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Marketing Collateral and Promotional Items Order

So, you're ready to order some goodies – tell us what you need:

Name:*

First Last

Contact Telephone Number:*

Email:*

Scheme/ Client/ Department/ Division:*

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Marketing Collateral and Promotional Items Order

Now, let’s get down to business. Some rules (just a few):

1. Any event requiring Scheme promotional items / gifts will require dual written authorisation by the divisional GM and the relevant FM / PO.
2. All Orders must be received at least 1 month in advance.
3. In exceptional circumstances, 3 weeks in advance will be allowed.
4. Please allow enough time when you send us your order for us to approve a sample of the item ordered to ensure quality, correct branding and sizing.

Please provide the authorising GM's details:*

First Last

Email:*

Phone Number:*

Please upload their signature below:*

i.e an approval e-mail. Please save a screenshot of the approval e-mail on your computer and upload. If you are unsure of how to take a screenshot, here is how to do it on Android, iPhone, Windows, and Mac.

Max. file size: 32 MB.

What item/s do you require? Please specify:*

Colour/s:*

Marketing Collateral and Promotional Items Order

Sizes:*

What branding is required:*

Date collateral required by:*

MM slash DD slash YYYY

Marketing Collateral and Promotional Items Order

Please specify how many Quotes you need:*

One last thing, would you like to submit another request?

Please check the box below.

I would like to complete another request form.

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Event Request

T and C's:
1. All requests must be received 1 month before an event.
2. Only in exceptional circumstances may requests be received 2 weeks prior to an event.
3. Any request for an event must include written authorisation from the divisional GM.
4. Any event requiring Scheme promotional items / gifts will require dual written authorisation by the divisional GM and the relevant FM / PO (the FM / PO approval will be obtained by the Events Team).
5. All branding items must be returned in good and working condition, and packed properly.
6. All gift items not utilised must be returned to the Marketing Department within 3 days post the event.
7. All branding items requested must be returned within 5 days unless prior authorisation is received for a longer duration.
8. Any branding items that have been damaged and need to be replaced will be billed to the requesting Department/Division (where applicable).

Accept T's and C's*

Yes

Event Information Required:

Who is requesting the event?*

Please specify:*

Is this event a*

Please specify:*

Please specify which scheme:*

Confirm name of client:*

Specify Event Type:*

Is this a combined scheme event? I.e. Universal and scheme event.*

Please*

Please specify the type of sponsorship event, i.e. Golf Day, etc:*

Please specify:*

Specifics:

Name of Requester:*

First Last

Contact Telephone Number:*

Email:*

Event Request

Alternative Contact Details:*

First Name Surname

Contact Number:*

Email:*

Authorising GM Name:*

First Last

Authorising GM E-mail Address:*

Please upload relevant approval from authorising GM below:*

Drop files here or

Max. file size: 32 MB.

Please specify the title / name of your event:*

Is your Event taking place?*

Indoors

Outdoors

Address of the Venue:*

Name of Venue Contact Person:*

First Last

Contact Number:*

Event Start Date*

YYYY slash MM slash DD

Event End Date*

YYYY slash MM slash DD

Event Start Time:*

Hours

Minutes

Event End Time:*

Hours

Minutes

Event Request

Expected Number of Attendees/Guests:*

Do you need Invites?*

Yes

Will you provide wording for the invitation?*

Yes

Please attach or type invite wording:*

Upload file

Type content

Please attach:*

Drop files here or

Max. file size: 32 MB.

Please type your wording here:*

Will the Events Team need to collate the invites and RSVP’s?*

Yes

Will Scheme/ Client branding be required?*

Yes

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Please select from the items below:*

Sharkfin banner

Pop-up banner

Pull-up banner

Gazebo

Tables

Chairs

Other

Please specify quantity of sharkfin banners:*

Please specify quantity of pop-up banners:*

Please specify quantity of pull-up banners:*

Please specify quantity of gazebos:*

Please specify quantity of tables:*

Please specify quantity of chairs:*

If you selected Other, please specify item and quantity:*

Will the Attendees / Guests require gifts?*

Yes

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Please select from the list below:*

Water bottles

Pens

Lanyards

Caps

USBs

Drawstring bags

Cooler bags

Umbrellas

Other

Please specify quantity of water bottles:*

Please specify quantity of pens:*

Please specify quantity of lanyards:*

Please specify quantity of caps:*

Please specify quantity of USBs:*

Please specify quantity of drawstring bags:*

Please specify quantity of cooler bags:*

Please specify quantity of umbrellas:*

If you selected Other, please specify item and quantity:*

Please provide additional requirements for the event, if any:

Event Request

Catering Requirements

Does your event require catering?*

Yes

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Please select the relevant option/s:*

Breakfast

Brunch

Cocktail Function

Lunch

Dinner

Refreshments

Other

Please specify breakfast and the time required:*

Please specify brunch and the time required:*

Please specify cocktail function requirements and the time required:*

Please specify lunch and the time required:*

Please specify dinner and the time required:*

If you selected Other, please specify requirements and the times:*

Do you have any dietary requirements?*

None

Halaal

Kosher

Vegan

Vegetarian

Allergies

Other

Please specify quantity of Halaal meals and guest details:*

Please specify quantity of Kosher meals and guest details:*

Please specify quantity of Vegan meals and guest details:*

Please specify quantity of Vegetarian meals and guest details:*

Please specify any allergies, and provide guest details:*

If you selected Other, please specify and indicate quantity of meals, and guest details:*

Event Request

Technical Requirements

Please select what you require from the list below:*

Projector

Pointer

Wi-Fi

Audio

Microphones

PA Systems

Whiteboards

Flipcharts

Other

If you selected Other, please specify below:*

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Branding and Promotional (Gifts) Items Request

T and C's:
1. All requests must be received 5 working days before an Event.
2. Only in exceptional circumstances requests may be received 3 working days prior to an Event.
3. Any event requiring Scheme promotional items / gifts will require dual written authorisation by the divisional GM and the relevant FM / PO - the FM / PO authorisation will be obtained by the Events Team.
4. All items returned must be returned in good condition and packed properly.
5. All gift items not utilised must be returned to the Marketing Department within 3 days post the event.
6. All branding items requested must be returned within 5 days unless prior authorisation is received for a longer duration.
7. Any branding items that have been damaged and need to be replaced will be billed to the requesting Department/Division (where applicable).

Note: On return of the branding and or collateral, the requester must complete the Branding / Collateral and or Promo Item/s Return Form (Return Form) for checking and auditing purposes. Tick the box below to accept the note:*

Acknowledgement of note.

Name:*

First Last

Email:*

Contact Telephone Number:*

Which SBU do you belong to?*

Please specify:*

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Branding and Promotional (Gifts) Items Request

Authorising GM's Name:*

First Last

Authorising GM's Email:*

Please upload relevant approval from authorising GM below:*

Drop files here or

Max. file size: 32 MB.

Date of Event for which you require branding and/or promo items:*

MM slash DD slash YYYY

What type of Event is it?*

Please specify:*

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Branding / Collateral and or Promo Item/s Request Form

By when do you require the branding and / or promo items?*

MM slash DD slash YYYY

What do you require?*

Gifts

Banners

T-shirts

Jackets

Shirts

Other

Please specify in which department you are:*

Please specify for which scheme are you requesting for:*

Please specify types and quantities of gifts:*

Please specify types and quantities of banners:*

Please specify sizes and quantities of T-shirts:*

Please specify sizes and quantities of jackets:*

Please specify sizes and quantities of shirts:*

Please specify other requirements:*

Please note that the availability of stock is not guaranteed.

Other Notes - Specifications/Anything not stipulated:*

We would like your feedback:

Please give us a few comments on your experience with the Events Department. Any suggestions are welcome too!*

One last thing, would you like to submit another request?

Please check the box below.

I would like to complete another request form.

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Branding / Collateral and or Promo Item/s Return Form

Name:*

First Last

Contact Telephone Number:*

Email:*

Date*

MM slash DD slash YYYY

Requester SBU:*

Please specify:*

Please specify items returned:*

Date Returned:*

MM slash DD slash YYYY

Returned by:*

First Last

Events Team Representative:*

First Last

One last thing, would you like to submit another request?

Please check the box below.

I would like to complete another request form.

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Design Request

Welcome to the Design Department! So, let’s get started…

Name:*

First Last

Contact Telephone Number:*

E-mail Address:*

Date Requested:*

DD slash MM slash YYYY

Preferred Completion Date:*

DD slash MM slash YYYY

Date Final Content Will Be Submitted:*

DD slash MM slash YYYY

Required Final Content Attached:*

Yes

Final Content:*

Drop files here or

Max. file size: 32 MB.

Design Request

Department:*

Primary Format:*

Type & Quantity:*

Please specify below.

A4 poster

A3 poster

DL flyer

A4 flyer

A5 flyer

Pull up banner

Vehicle branding

Business card

Letterhead

Newsletter

Product branding

Folder

X banner

Other

Other:*

Printing:*

Internal

Commercial

Print Run:*

Quantity

Invoice To:*

Department

Extra Requirements:*

Please specify who will be distributing the e-mail:*

Format Needed:*

PDF

JPEG

Word Template

Sliced HTML

Other

Other:*

Social Media:*

Facebook

Instagram

Other Media:*

Layout Needed:*

Purpose*

Design Request

Image Type Needed:*

Profile Image

Cover Image

Shared Image

Other:*

Web:*

Internal site

External site

Size:*

Pixels: Width * Height

Requested by:*

Target Audience:*

Internal

Corporate/Suppliers

Public/Members

Other

Other:*

Target Specifics:*

Blue collar, general public, executives and corporates, promoting healthy lifestyle, etc.

Design Request

Job Brief:*

Please specify below.

Design Request

Logos/Co-branding:*

Please click on the checkboxes to select it.

Universal Healthcare

Universal Workplace Health Plan

Universal Corporate Wellness

Universal Occupational Health

Universal Health Cover

Universal Care

Universal 360°

Universal Admin

Universal Health and Accident Plan

Universal Employee Wellness

Universal Network

Universal Seychelles

Universal Gap Cover

Universal Motorsport

Universal Marketing

uGap

uConsult

Universal.one

uActivate

CompCare

Building and Construction Industry Medical Aid Fund (BCIMA)

Transmed

African Explosives and Chemical Industries (AECI)

Umvuzo

Tiger Brands

Government Employees Medical Scheme (GEMS)

Makoti

Grintek Electronics Medical Aid Scheme (GEMAS)

Massmart

Medibucks

Medikredit

Other

Other:*

Please note that requests take 5 – 10 working days based on their complexity. Please contact us at design@universal.co.za if you have any questions.

One last thing, would you like to submit another request?

Please check the box below.

I would like to complete another request form.

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Webinar Request

Name:*

First Last

Email:*

Contact Telephone Number:*

Date of webinar:*

MM slash DD slash YYYY

Date of test run (if applicable):*

MM slash DD slash YYYY

Have webinar dates and time been approved by Samantha Baxter?*

* Zoom Webinar dates need to be confirmed as available by Samantha Baxter to avoid any double bookings as she arranges all company Zoom meetings and webinars.

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Webinar Request

Contact person for webinar enquiries:

Webinar host/panelist details:

Please click the "Add Details" button below to add their details. You can repeat the process as many times as you need to.

Title of webinar:*

Description of webinar:*

Please confirm the following before uploading the contact list:*

Contact list is an Excel document.

The contact list has a separate column for Name, Surname and Email.

All information is title cased, meaning that only first letters are capitals.

There are no role-based email addresses, ie. admin@company.co.za, ceo@company.co.za

All email addresses are valid email addresses.

There are no duplicate contacts.

Upload contact list:*

Drop files here or

Max. file size: 32 MB.

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Webinar Request

Type of webinar:*

Please specify:*

Should invitees register in order to attend?*

Should attendees be able to raise their hands if they have a question?*

Do you want to host a poll?*

Will this be a single-question or multiple-choice poll?*

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Webinar Request

Please add question:

Please click the "Add Question" button below to add questions. You can repeat the process as many times as you need to.

Please add question:

Please click the "Add Question" button below to add questions. You can repeat the process as many times as you need to.

Should the attendees be sent to a website after the webinar?*

Should the webinar be recorded?*

Should the recording be shared with attendees?*

Should the recording be shared with a specific person?*

Please add the person's details:

Please click the "Add Contact" button below to add their details. You can repeat the process as many times as you need to.

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Webinar Request

Do you require a personalised banner for the registration page?*

Do you require a designed email invitation to be sent out?*

Please note that you will need to complete a design request for either the email invitation and/or the banner for the registration page.

Would you like to complete a design request now?*

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Digital Request

Digital Related Request

Name:*

First Last

Email:*

Contact Telephone Number:*

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Please select the website that relates to your enquiry:*

What Do you Require*

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Type of request:*

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Digital Request

Digital Related Request

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The address/URL of the webpage where the new content should go:*

e.g. https://compcare.co.za/downloads

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Where on the page should the content appear - under which section?*

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Upload the new content:

Please note that multiple files can be uploaded as long as they are part of the same request.

Drop files here or

Max. file size: 32 MB.

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The address/URL of the webpage where the problem is:*

e.g. https://compcare.co.za/downloads

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Where on the page does the problem appear - under which section?*

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What is the problem?*

Hidden

Upload a screenshot of the problem:*

If you are unsure of how to take a screenshot, here is how to do it on Android, iPhone, Windows, and Mac.

Drop files here or

Max. file size: 32 MB.

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The address/URL of the webpage where the adjustment is required:*

e.g. https://compcare.co.za/downloads

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Where on the page should the adjustment be made - under which section?*

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What should be removed/replaced?*

What should replace the removed content?*

Upload visual/additional instructions:

Please upload a screenshot(s) of the instructions here. If you are unsure of how to take a screenshot, here is how to do it on Android, iPhone, Windows, and Mac.

Drop files here or

Accepted file types: jpg, png, pdf, Max. file size: 32 MB.

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Digital Request

Digital Related Request

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When should the task be completed?*

Date*

MM slash DD slash YYYY

One last thing, would you like to submit another request?

Please check the box below.

I would like to complete another request form.

Survey Request

Name:*

First Last

Contact Telephone Number:*

Email*

For which scheme/product or service is the survey intended?*

What do you wish to achieve with this survey?*

Survey Request

Type of Survey*

Timeline to Begin Survey:*

Select a date which you wish to have the survey sent out:

MM slash DD slash YYYY

Frequency:*

Deadline to Receive Results:*

MM slash DD slash YYYY

Survey Request

Types of Survey Questions:*

One last thing, would you like to submit another uMarketing request?

Please check the box below.

I would like to complete another request form.

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Mobile Application Request

Name:*

First Last

Phone:*

Email:*

Please select the mobile app that relates to your enquiry:*

Type of request:*

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Mobile Application Request

The screen of the app where the new content should go:*

Where on the screen should the new content appear - under which section?*

Upload the new content:*

Please note that multiple files can be uploaded as long as they are part of the same request.

Drop files here or

Max. file size: 32 MB.

The screen of the app where the problem is:*

(e.g. https://compcare.co.za/downloads)

Where on the page does the problem appear - under which section?*

What is the problem?*

Upload a screenshot of the problem:*

If you are unsure of how to take a screenshot, here is how to do it on Android, iPhone, Windows, and Mac.

Drop files here or

Max. file size: 32 MB.

The address/URL of the webpage where the adjustment is required:*

e.g. https://compcare.co.za/downloads

Where on the page should the adjustment be made - under which section?*

What should be removed/replaced?*

What should replace the removed content?*

Upload visual/additional instructions:

Please upload a screenshot(s) of the instructions. If you are unsure of how to take a screenshot, here is how to do it on Android, iPhone, Windows, and Mac.

Drop files here or

Max. file size: 32 MB.

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Mobile Application Request

When should the task be completed?*

Date*

MM slash DD slash YYYY

One last thing, would you like to submit another uMarketing request?

Please check the box below.

I would like to complete another request form.

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PR and Communication Request

Name of Contact Person:*

First Last

Contact Number:*

Email:*

Date of Service Request Submission:*

MM slash DD slash YYYY

Division Cost Centre Number:*

Date of Preferred Completion:*

MM slash DD slash YYYY

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PR and Communication Request

Name of Universal Business Unit/Client:*

Please click on the checkboxes to select it.

Universal Healthcare

Universal WorkerPlan

Universal Corporate Wellness

Universal Occupational Health

Universal Cover

Universal Care

Universal 360°

Universal Admin

Universal Health and Accident

Universal Employee Wellness

Universal Health Plan

Universal Network

Universal Seychelles

Universal Racing

CompCare

Building and Construction Industry Medical Aid Fund

Transmed

AECI

Umvuzo

Tiger Brands

Government Employees Medical Scheme

Makoti

Grintek Electronics Medical Aid Scheme

Massmart

Medibucks

Medikredit

Other

Please specify:*

Would you like to upload additional copy along with this request?*

Yes

Upload here:*

Drop files here or

Max. file size: 32 MB.

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PR and Communication Request

Kindly indicate the type of copy required:*

Please click on the checkboxes to select it.

Facebook

Media Publication Content

Online Banners

Member Communication

Broker Communication

Presentations

Campaign Content

Product Launch

Please provide brief background to give context:*

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PR and Communication Request

What is the aim of the content?*

Who is the intended target market?*

Corporates, blue collar workers, etc.

One last thing, would you like to submit another uMarketing request?

Please check the box below.

I would like to complete another request form.

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Corporate Clothing Form

1. Please read and confirm that you agree to the Terms & Conditions and the Universal Corporate Wear Policy below:

Terms & Conditions:*

-When completing the Corporate Clothing Request form, we recommend that you try on the clothing BEFORE you place you order. Please follow the process on the form in order to do so.
- Fitting appointments may be made every Wednesday between 12:00 to 14:00.
- Fitting will be done at 1 Simba Road, Sunninghill.
- Lead-time is three weeks after order has been placed on the system.
- No returns allowed unless factory fault. Time frame for returns is five to seven working days after item has been received.
- No refunds will be allowed.
- Payment will be deducted on your salary pay date (payment terms from one to three months).
- Clothing order requests received after the 10^th of the month will be processed for salary deduction on the salary pay date of the following month.
- Cancellation Clause: cancellation of an order must be done within one business day.
- An email will be sent to you once your order is ready for collection at 1 Simba Road, Sunninghill.
- No deliveries will be made, except to the regions.

By checking this box you confirm that you have read and agree to our Terms & Conditions and our Corporate Wear Policy

2. Set appointment date:

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Would you like to book a fitting appointment?*

PLEASE NOTE : If you select "Yes" you will be redirected to the booking form for you to make an appointment.

Yes

I do not require a fitting appointment therefore I wish to proceed with my Corporate Clothing order.

3. Fill in the below details:

Please select the company that you belong to:*

Name:*

First Last

Work E-mail:*

Cellphone Number:*

Employee Number:*

Department:*

Region:*

E.g. Johannesburg, Cape Town, etc.

I confirm that the information provided is correct.

4. Select clothing item(s):

Please select the item(s) that you would like to order below:*

Lounge Shirt - R298.00

Jacket - R727.00

T-shirt - R152.00

Golf Shirt - R323.00

Cap - R108.00

Dri-mac - R436.00

Puff Jacket - R638.00

Please specify gender for the lounge shirt:*

Sizes	S	M	L	XL	2XL	3XL	4XL	5XL
Collar	38	40	42	44	46	48	50	52
Half chest (cm)	52	57	62	67	72	77	82	87

Sizes	S	M	L	XL	2XL	3XL	4XL	5XL
Half chest (cm)	45	49	53	57	61	65	69	73

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Sizes*

Mens Lounge Shirt - Regular fit
Sizes	S	M	L	XL	2XL	3XL	4XL	5XL
Collar	38	40	42	44	46	48	50	52
½Chest(cm)	52	57	62	67	72	77	82	87

Sizes*

Ladies Blouse - Regular fit
Sizes	S	M	L	XL	2XL	3XL	4XL	5XL
½Chest(cm)	45	49	53	57	61	65	69	73

Collar : Half chest :

Quantity

Please enter a number from 1 to 999.

Total

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Please specify size(s) and quantity of lounge shirts:

Please specify gender for the jacket:*

Please specify gender for the puff jacket:*

Sizes	S	M	L	XL	2XL	3XL	4XL	5XL
Half chest (cm)	54	57	60	63	66	69	72	75

Sizes	S	M	L	XL	2XL	3XL	4XL
Half chest (cm)	49	52	55	58	61	64	67

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Sizes*

Mens Andes Jacket
Half chest (CM)	S	M	L	XL	2XL	3XL	4XL	5XL
	50	53	56	59	62	65	68	71

Mens Maxson Softshell Jacket
Half chest (CM)Standard fit	S	M	L	XL	2XL	3XL	4XL
	54	57	61	65	68.5	74	79

Sizes*

Ladies Andes Jacket
Half chest (CM)	S	M	L	XL	2XL	3XL	4XL
	45	48	51	54	57	60	63

Ladies Maxson Softshell Jacket
Half chest (CM)Standard fit	S	M	L	XL	2XL	3XL
	50	53.5	57	61	65	68.5

Collar : Half chest :

Quantity

Please enter a number from 1 to 999.

Total

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Please specify size(s) and quantity of jackets:

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Sizes Puff*

Mens Andes Jacket
Half chest (CM)	S	M	L	XL	2XL	3XL	4XL	5XL
	50	53	56	59	62	65	68	71

Mens Maxson Softshell Jacket
Half chest (CM)Standard fit	S	M	L	XL	2XL	3XL	4XL
	54	57	61	65	68.5	74	79

Sizes Puff Female*

Ladies Andes Jacket
Half chest (CM)	S	M	L	XL	2XL	3XL	4XL
	45	48	51	54	57	60	63

Ladies Maxson Softshell Jacket
Half chest (CM)Standard fit	S	M	L	XL	2XL	3XL
	50	53.5	57	61	65	68.5

Quantity

Please enter a number from 1 to 999.

Total

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Please specify gender for the T-shirt:*

Sizes	S	M	L	XL	2XL	3XL	4XL	5XL
Half chest (cm)	50	53	56	59	62	65	68	71

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Sizes*

Unisex Super Club 180 T-Shirt
Half Chest (CM)Standard Fit	S	M	L	XL	2XL	3XL	4XL	5XL
	50	53	56	59	62	65	68	71

Sizes*

Unisex Super Club 180 T-Shirt
Half Chest (CM)Standard Fit	S	M	L	XL	2XL	3XL	4XL	5XL
	50	53	56	59	62	65	68	71

Collar : Half chest :

Quantity

Please enter a number from 1 to 999.

Total

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Please specify size(s) and quantity of T-shirts:

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Please specify gender for the golf shirt:*

Sizes	S	M	L	XL	2XL	3XL	4XL
Half chest (cm)	52	56	60	63.5	67.5	72.5	77.5

Sizes	S	M	L	XL	2XL	3XL
Half chest (cm)	46.5	49.5	53.5	57	61	65

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Sizes*

Mens Edge Golf Shirt
Half Chest (CM)Relaxed Fit	S	M	L	XL	2XL	3XL	4XL
	52	56	60	63.5	67.5	72.5	77.5

Sizes*

Ladies Edge Golf Shirt
Half Chest (CM)Relaxed Fit	S	M	L	XL	2XL	3XL
	46.5	49.5	53.5	57	61	65

Collar : Half chest :

Quantity

Please enter a number from 1 to 999.

Total

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Please specify size(s) and quantity of golf shirts:

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Quantity

Please enter a number from 1 to 999.

Total

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Please specify quantity of caps:

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Please specify gender for the dri mac:*

Sizes	XS	S	M	L	XL	2XL	3XL	4XL	5XL
Half chest (cm)	58	61	63	65	67	69	71	76	78
Length	68	70	70	74	76	76	78	79	79

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Sizes*

All Weather Macjack
AWJ202	XS	S	M	L	XL	2XL	3XL	4XL	5XL
½Chest	58	61	63	65	67	69	71	76	78
Length	68	70	70	74	76	76	78	79	79

All Weather Macjack
AWJ202	XS	S	M	L	XL	2XL	3XL	4XL	5XL
½Chest	58	61	63	65	67	69	71	76	78
Length	68	70	70	74	76	76	78	79	79

Length : Half chest (cm) :

Quantity

Please enter a number from 1 to 999.

Total

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Please specify size(s) and quantity of dri-macs:

5. Salary Deduction Authorisation Form:

Terms and Conditions: *

- Corporate Clothing salary deductions are allowed between 1-3 months.
- By acknowledgement of these terms and conditions I authorise the company to deduct the stipulated amount from my salary.

I hereby accept the terms and conditions for the salary deduction.

Please select the appropriate choice:*

Universal Healthcare Administrators (Pty) Ltd

Universal Care (Pty) Ltd

Universal Healthcare Services (Pty) Ltd

MediKredit Integrated Healthcare Solutions (Pty) Ltd

Universal Corporate Wellness (Pty) Ltd

Universal Healthcare Marketing (Pty) Ltd

Universal Motorsport (Pty) Ltd

Performance Health (Pty) Ltd

mediBucks (Pty) Ltd

Universal.one, Inc

uVax.one, Inc

uActivate.one, Inc

uConsult.one, Inc

Universal Health Cover (Pty) Ltd

Universal Cover (Pty) Ltd

Universal Healthcare (Pty) Ltd

Universal Healthcare International Ltd

Other

Please specify:

Total Amount to Be Deducted (R):*

Please specify your preferred payment plan:*