Wild Card Application Form Kindly complete the information below to renew or obtain a new wild Card. Forward this back with a proof of payment to receive your confirmation letter. Your confirmation letter can be used while you wait on your card to be sent. Herewith the banking details: Banking Details Bank Name NedBank Ltd Account Name WCNCB bank account Branch Name Corporate Account Type Cheque Account Number 1 452 048 401 Branch Code 145 209 Reference Wild Card – Name and Surname Please select your card type Type of Card All parks CapeNature SanParks Msinisi EKZN Wildlife Swaziland International Individual ( Any 1 pax) R 515.00 R 455.00 R 500.00 R 455.00 R 500.00 R 370.00 R 2210.00 Couple ( Any 2 pax) R 845.00 R 740.00 R 815.00 R 745.00 R 810.00 R 605.00 R 3455.00 Family ( up to 7- max 2 adults) R 1035.00 R 890.00 R 975.00 R 885.00 R 970.00 R 735.00 R 4130.00 Personal Details Old Wild Card Number if any Title First Name Surname