{"id":241,"date":"2025-03-04T14:18:17","date_gmt":"2025-03-04T14:18:17","guid":{"rendered":"https:\/\/mayasefuneralservices.co.za\/?page_id=241"},"modified":"2025-03-05T07:10:40","modified_gmt":"2025-03-05T07:10:40","slug":"register","status":"publish","type":"page","link":"https:\/\/mayasefuneralservices.co.za\/index.php\/register\/","title":{"rendered":"Register"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"241\" class=\"elementor elementor-241\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b4652ef e-flex e-con-boxed e-con e-parent\" data-id=\"b4652ef\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ac7a78a elementor-widget__width-initial elementor-widget elementor-widget-elementskit-heading\" data-id=\"ac7a78a\" data-element_type=\"widget\" data-widget_type=\"elementskit-heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"ekit-wid-con\" ><div class=\"ekit-heading elementskit-section-title-wraper text_left   ekit_heading_tablet-   ekit_heading_mobile-\"><h2 class=\"ekit-heading--title elementskit-section-title \">Join  <span><span>MFS<\/span><\/span> Today! \ud83d\ude0a<\/h2><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bd2768f elementor-widget elementor-widget-text-editor\" data-id=\"bd2768f\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Becoming a part of our family is quick and easy. Register now to enjoy our services and benefits. Simply fill out the form with your details, and our team will guide you through the process. We\u2019re here to support you every step of the way!<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-b6764c5 e-flex e-con-boxed e-con e-parent\" data-id=\"b6764c5\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7015858 elementor-widget elementor-widget-shortcode\" data-id=\"7015858\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\">\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f240-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"240\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/index.php\/wp-json\/wp\/v2\/pages\/241#wpcf7-f240-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"240\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.0.4\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f240-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/div>\n<p><label>Type Of Plan:<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"type_of_plan\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required plan-type\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"type_of_plan[]\" value=\"Plan A\" \/><span class=\"wpcf7-list-item-label\">Plan A<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"type_of_plan[]\" value=\"Plan B\" \/><span class=\"wpcf7-list-item-label\">Plan B<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"type_of_plan[]\" value=\"Plan C\" \/><span class=\"wpcf7-list-item-label\">Plan C<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label>Premium Cover Amount:<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"premium_cover_amount\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-required wpcf7-validates-as-number cover-amount\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"premium_cover_amount\" \/><\/span>\n<\/p>\n<legend><strong>Member Details:<\/strong>\n<\/legend>\n<table>\n\t<tr>\n\t\t<td>\n\t\t\t<p><label>Full Name(s):<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"member-fullname\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required member-fullname\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"member-fullname\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t\t<td>\n\t\t\t<p><label>Surname:<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"member-surname\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required member-surname\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"member-surname\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t<\/tr>\n\t<tr>\n\t\t<td>\n\t\t\t<p><label>ID Number:<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"member-id\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required member-id\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"member-id\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t\t<td>\n\t\t\t<p><label>Gender:<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"member-gender\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required member-gender\" aria-required=\"true\" aria-invalid=\"false\" name=\"member-gender\"><option value=\"Male\">Male<\/option><option value=\"Female\">Female<\/option><\/select><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t<\/tr>\n\t<tr>\n\t\t<td>\n\t\t\t<p><label>Marital Status:<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"member-marital\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required member-marital\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"member-marital[]\" value=\"Single\" \/><span class=\"wpcf7-list-item-label\">Single<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"member-marital[]\" value=\"Married\" \/><span class=\"wpcf7-list-item-label\">Married<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"member-marital[]\" value=\"Widow\/Widower\" \/><span class=\"wpcf7-list-item-label\">Widow\/Widower<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t\t<td>\n\t\t\t<p><label>Residential Address:<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"member-address\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required member-address\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"member-address\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t<\/tr>\n\t<tr>\n\t\t<td>\n\t\t\t<p><label>Postal Code:<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"member-postal\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required member-postal\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"member-postal\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t\t<td>\n\t\t\t<p><label>Cell Number:<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"member-cell\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel member-cell\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"member-cell\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t<\/tr>\n\t<tr>\n\t\t<td>\n\t\t\t<p><label>Tel No:<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"member-tel\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text member-tel\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"member-tel\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t\t<td>\n\t\t\t<p><label>Email:<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"member-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email member-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"member-email\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t<\/tr>\n<\/table>\n<legend><strong>Spouse Details<\/strong>\n<\/legend>\n<table>\n\t<tr>\n\t\t<td>\n\t\t\t<p><label>Full Name(s):<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"spouse-fullname\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required spouse-fullname\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"spouse-fullname\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t\t<td>\n\t\t\t<p><label>Surname:<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"spouse-surname\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required spouse-surname\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"spouse-surname\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t<\/tr>\n\t<tr>\n\t\t<td>\n\t\t\t<p><label>ID Number:<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"spouse-id\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required spouse-id\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"spouse-id\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t\t<td>\n\t\t\t<p><label>Cell No:<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"spouse-cell\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel spouse-cell\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"spouse-cell\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t<\/tr>\n<\/table>\n<fieldset>\n\t<legend><strong>Dependents Details:<\/strong>\n\t<\/legend>\n\t<table>\n\t\t<tr>\n\t\t\t<th>\n\t\t\t\t<p>Full Name & Surname\n\t\t\t\t<\/p>\n\t\t\t<\/th>\n\t\t\t<th>\n\t\t\t\t<p>Date of Birth\n\t\t\t\t<\/p>\n\t\t\t<\/th>\n\t\t\t<th>\n\t\t\t\t<p>ID Number\n\t\t\t\t<\/p>\n\t\t\t<\/th>\n\t\t\t<th>\n\t\t\t\t<p>Relationship\n\t\t\t\t<\/p>\n\t\t\t<\/th>\n\t\t<\/tr>\n <!-- Dependents rows -->\n <!-- Dependent 1 -->\n\t\t<tr>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"dep1-fullname\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"dep1-fullname\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"dep1-dob\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"dep1-dob\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"dep1-id\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"dep1-id\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"dep1-relationship\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"dep1-relationship\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n <!-- Dependent 2 -->\n\t\t<tr>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"dep2-fullname\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"dep2-fullname\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"dep2-dob\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"dep2-dob\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"dep2-id\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"dep2-id\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"dep2-relationship\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"dep2-relationship\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n <!-- Dependent 3 -->\n\t\t<tr>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"dep3-fullname\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"dep3-fullname\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"dep3-dob\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"dep3-dob\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"dep3-id\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"dep3-id\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"dep3-relationship\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"dep3-relationship\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n <!-- Dependent 4 -->\n\t\t<tr>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"dep4-fullname\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"dep4-fullname\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"dep4-dob\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"dep4-dob\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"dep4-id\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"dep4-id\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"dep4-relationship\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"dep4-relationship\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n <!-- Dependent 5 -->\n\t\t<tr>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"dep5-fullname\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"dep5-fullname\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"dep5-dob\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"dep5-dob\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"dep5-id\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"dep5-id\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"dep5-relationship\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"dep5-relationship\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n <!-- Dependent 6 -->\n\t\t<tr>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"dep6-fullname\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"dep6-fullname\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"dep6-dob\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"dep6-dob\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"dep6-id\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"dep6-id\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"dep6-relationship\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"dep6-relationship\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n <!-- Dependent 7 -->\n\t\t<tr>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"dep7-fullname\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"dep7-fullname\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"dep7-dob\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"dep7-dob\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"dep7-id\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"dep7-id\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"dep7-relationship\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"dep7-relationship\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n <!-- Dependent 8 -->\n\t\t<tr>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"dep8-fullname\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"dep8-fullname\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"dep8-dob\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"dep8-dob\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"dep8-id\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"dep8-id\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"dep8-relationship\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"dep8-relationship\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t<\/table>\n<\/fieldset>\n<legend><strong>Nominated Beneficiary Details:<\/strong>\n<\/legend>\n<table>\n\t<tr>\n\t\t<td>\n\t\t\t<p><label>Full Name(s):<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"beneficiary-fullname\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required beneficiary-fullname\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"beneficiary-fullname\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t\t<td>\n\t\t\t<p><label>Surname:<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"beneficiary-surname\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required beneficiary-surname\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"beneficiary-surname\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t<\/tr>\n\t<tr>\n\t\t<td>\n\t\t\t<p><label>Cell No:<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"beneficiary-cell\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel beneficiary-cell\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"beneficiary-cell\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t\t<td>\n\t\t\t<p><label>ID Number:<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"beneficiary-id\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required beneficiary-id\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"beneficiary-id\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t<\/tr>\n\t<tr>\n\t\t<td>\n\t\t\t<p><label>Relationship:<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"beneficiary-relationship\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required beneficiary-relationship\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"beneficiary-relationship\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t\t<td>\n\t\t\t<p><label>Date of Birth:<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"beneficiary-dob\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date beneficiary-dob\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"beneficiary-dob\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t<\/tr>\n<\/table>\n<legend><strong>Payment Method:<\/strong>\n<\/legend>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"payment-method\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required payment-method\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"payment-method[]\" value=\"Cash\" \/><span class=\"wpcf7-list-item-label\">Cash<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"payment-method[]\" value=\"Bank Transfer\/EFT\" \/><span class=\"wpcf7-list-item-label\">Bank Transfer\/EFT<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"payment-method[]\" value=\"Debit Order\" \/><span class=\"wpcf7-list-item-label\">Debit Order<\/span><\/label><\/span><\/span><\/span><br \/>\n<label>Payment Date:<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"payment-date\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date payment-date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"payment-date\" \/><\/span><\/label>\n<\/p>\n<legend><strong>Attachments: (Compulsory)<\/strong>\n<\/legend>\n<table>\n\t<tr>\n\t\t<td>\n\t\t\t<p><label>ID copies of Main Holder:<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"mainholder-id-copy\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\".pdf\" aria-invalid=\"false\" type=\"file\" name=\"mainholder-id-copy\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t\t<td>\n\t\t\t<p><label>ID Copies of Spouse and Dependents:<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"spouse-dependents-id-copy\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\".pdf\" aria-invalid=\"false\" type=\"file\" name=\"spouse-dependents-id-copy\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t<\/tr>\n\t<tr>\n\t\t<td>\n\t\t\t<p><label>Birth Certificates of Children under Dependents:<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"dependents-birth-certs\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\".pdf\" aria-invalid=\"false\" type=\"file\" name=\"dependents-birth-certs\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t<\/tr>\n<\/table>\n<p><label>Previous Policy Book if switching from another policy:<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"previous-policy-book\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file previous-policy-book\" accept=\".pdf\" aria-invalid=\"false\" type=\"file\" name=\"previous-policy-book\" \/><\/span><\/label>\n<\/p>\n<p><label>Proof of debit order from the bank:<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"proof-of-debit-order\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file proof-of-debit-order\" accept=\".pdf\" aria-invalid=\"false\" type=\"file\" name=\"proof-of-debit-order\" \/><\/span><\/label>\n<\/p>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Submit\" \/>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Join MFS Today! \ud83d\ude0a Becoming a part of our family is quick and easy. Register now to enjoy our services and benefits. Simply fill out the form with your details, and our team will guide you through the process. We\u2019re here to support you every step of the way!<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-241","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/mayasefuneralservices.co.za\/index.php\/wp-json\/wp\/v2\/pages\/241","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/mayasefuneralservices.co.za\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/mayasefuneralservices.co.za\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/mayasefuneralservices.co.za\/index.php\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/mayasefuneralservices.co.za\/index.php\/wp-json\/wp\/v2\/comments?post=241"}],"version-history":[{"count":7,"href":"https:\/\/mayasefuneralservices.co.za\/index.php\/wp-json\/wp\/v2\/pages\/241\/revisions"}],"predecessor-version":[{"id":272,"href":"https:\/\/mayasefuneralservices.co.za\/index.php\/wp-json\/wp\/v2\/pages\/241\/revisions\/272"}],"wp:attachment":[{"href":"https:\/\/mayasefuneralservices.co.za\/index.php\/wp-json\/wp\/v2\/media?parent=241"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}