PICK N PAY SCHOOL CLUB 2014 REGISTRATION FORM
Yes! Our school would love to join the Pick n Pay School Club for the 2014 school year and look forward to receiving our FREE Pick n Pay School Club kit for 2014.

School Details:

School Name:
GPS Co-ordinates:
Street Address:
Postal Address:
Telephone Number:
Postal Code:
Facsimile:
Email Address:
Name of Principal
Primary, Secondary or Intermediate:
Number of Teachers:
Number of Learners:
English/Afrikaans Medium:
EMIS no:
Annual School Fees:
Private or Government:
Closest Pick n Pay:
Closest Hypermarket:

Authorisation

Name and Surname:
Title (Position held at school):
Mobile Number:
Email Address:
Birthday e.g. 1970-12-25

Terms and Conditions

This 2014 Pick n Pay School Club registration form has been completed by an authorised party who herewith gives permission for photos taken by the Pick n Pay School Club employee to be used on the Pick n Pay School Club website.

NOTE: By providing the contact teacher and/or principal and/or school contact information, you give Pick n Pay permission to send you information regarding Pick n Pay School Club via telephone, email, post, fax, mail and delivery. In the event that you wish to opt out of the programme, please email pnpschoolclub@hdiyouth.co.za. Pick n Pay School Club organisers, promoters, partners or agencies do not bear any responsibility or liability for any injury, accident, death or asset damage howsoever arising from inclusion or participation in this programme or any of its related components or through the use of the material/s provided.

More information

I would like to receive communication from Pick n Pay School Club in the form of a monthly SMS update
I would like to receive communication from Pick n Pay School Club in the form of a monthly emailer
I accept the Terms and Conditions

Should you have any queries, contact Julene du Plooy t. +27 11 706-6016 f. +27 86 686 9385