Loyalty Benefit Card Application

Thank you for your interest in joining the Dis-Chem Benefits Programme. Please complete the form to apply:

Personal Details

Contact Details

Address Details

Are you currently pregnant?

Details of Dependants Under 36 Months

Dependant #1

Dependant #2

Dependant #3

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Dis-Chem Store

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Customer Care

Head Office
  • Cnr Le Roux & Stag Rd
  • Glen Austin
  • Midrand
  • South Africa
Postal Address
  • Private Bag X21
  • Northriding
  • 2162

If you would like to speak to a customer care consultant, please contact us at:

Care-line: 0860 347 243 Telephone: 011 589 2200 Mondays to Fridays: 08:00 to 16:30 Email: [email protected]
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