New Service Form

Please complete the below form for onboarding purposes.

Full name and surname

Phone number

Date of Birth of Taxpayer

Year

Month

Day

Tax number

Residential address

Do you live more than 10km from your child's remedial school?

Yes

What school does your remedial child attend?

What grade is your remedial child in?

What service are you requesting we assist with?

By checking this checkbox I agree to the pricing for the above selected service and will make payment within 7 business days of the service being finalised. The information has been provided to me over e-mail or on https://www.think-quick.co.za/pricing and I agree to this pricing.

By checking this checkbox I confirm that it is my responsibility to obtain an ITR-DD medical form from a medical practitioner in support of my disability tax claim.