CREDSURE ZIMBABWE LIMITED

FUNERAL CLUB LOAN FORM

Name: ......................................................................................................................................................
Position: ................................................................
Telephone Numbers:

Department: ..................................................

Home: ...............................................

Cell: .................................................

Home Address: .................................................................................................................................

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................................................................................................................................

Amount Required: ..........................................................

Date: ..............................................

Total amount payable plus 10% interest: .......................................... Signature: ..............................

Repayment Date: ...........................................................

SIGNATURES OF FUNERAL CLUB SUB COMMITTEE MEMBERS

(1)

Name ..............................................................

Signature .......................................................

(2)

Name ..............................................................

Signature .......................................................

(3)

Name: .............................................................

Signature: .....................................................

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