Mellins-PHSG Eye Health Programme 2024

Thank you for joining the Pretoria Girls Eye Health programme.

To qualify for your free pair of sunglasses in 2024, customised with the school's emblem, you have to complete this form - on behalf of yourself and your qualifying beneficiaries.

Launch special! Choose between a free pair of PGHS branded sunglasses OR 50% off any OTHER PAIR of sunnies until 31 July 2024.

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* 1. Please indicate your relationship with Pretoria Girls

Teacher

Coach

Parent

Old girl

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* 2. Personal & contact information

Name

Surname

City/Town

RSA ID number

Email Address

Phone Number

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* 3. Beneficiary 1: Please complete

Spouse name & surname

Spouse ID number

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* 4. Beneficiary 2: Please complete

Pretoria girl's name & surname

Daughter ID number

Daughter telephone number

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* 5. Beneficiary 3: Please complete

Pretoria girl's name & surname

Daughter ID number

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* 6. Beneficiary 4: Please complete

Pretoria girl's name & surname

Daughter ID number

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* 7. Below is a list of all the Mellins practices countrywide. If it is possible for you to do so now, please choose the practice where you'd like to have your eyes tested. We will still contact you to confirm a date and time.

Eastern Cape: Queenstown Nonesi Mall

Eastern Cape: Queenstown Cathcart Road

Free State: Bethlehem

Free State: Bloemfontein Mimosa Mall

Free State: Bloemfontein Loch Logan Waterfront

Free State: Bloemfontein Middestad Centre

Free State: Bloemfontein Northridge Mall

Free State: Bloemfontein Preller Plein

Free State: Kroonstad

Free State: Sasolburg

Free State: Virginia

Free State: Welkom

Gauteng: Fourways Crossing

Gauteng: Southgate Mall

Gauteng: Mall of Africa

Gauteng: Grove Mall

Gauteng: Kolonnade Shopping Centre

Gauteng: Menlyn Mall

Gauteng: Woodlands Boulevard Shopping Centre

Gauteng: Mall @ reds Centurion

Gauteng: Cresta Centre

Gauteng: Clearwater Mall

Gauteng: Benmore Shopping Centre Sandton

Gauteng: Vereeniging Three Rivers Shopping Centre

Gauteng: Vanderbijlpark, Vaal Mall

KwaZulu-Natal: Ballito Junction

KwaZulu-Natal: Richardsbay

KwaZulu-Natal: Umhlanga, Gateway Mall

KwaZulu-Natal: Cornubia Shopping Centre, Ethekwini

Mpumalanga: Ermelo Merino Mall

Mpumalanga: Nelspruit Riverside Mall

Mpumalanga: Standerton

Northwest: Klerksdorp

Northwest: Rustenburg, Waterfall Mall

Northern Cape: De Aar

Northern Cape: Kimberley New Park Centre

Northern Cape: Kimberley Northcape Mall

Northern Cape: Upington

Western Cape: Claremont, Montclare Place

Western Cape: Durbanville, Palmgrove Centre

Western Cape: George, Garden Route Mall

Western Cape: George, George-Mediclinic Centre

Western Cape: Hermanus, Whale Coast Mall

Western Cape: Kleinmond

Western Cape: Mosselbay

Western Cape: Somerset West, Somerset Mall

Western Cape: Stellenbosch, Eikestad Mall

Western Cape: Tableview, Bayside Shopping Centre

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* 8. Would you rather make your own appointment?

Yes - I'm booking now by clicking here