Vitality Active Rewards with Apple Watch

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1 Vitality Active Rewards with Apple Watch benefit transfer request form Should you not have collected your Apple Watch Series 2 Sport 38 mm from an istore, please contact Discovery on vitalityactiverewards@discovery.co.za to cancel your Vitality Active Rewards with Apple Watch benefit. You will not be refunded your R600 non-refundable activation fee. Once the benefit is cancelled, another member on your policy can activate the benefit if they are eligible. If you have collected your Apple Watch Series 2 Sport 38mm from an istore and would like to transfer the Vitality Active Rewards with Apple Watch benefit, please complete the following transfer form. The Vitality Active Rewards with Apple Watch benefit can only be transferred to another person (the transferee) who is eligible for the Vitality Active Rewards with Apple Watch benefit. If the transferee is not eligible for the benefit, you may not transfer the benefit. To be eligible for the Vitality Active Rewards with Apple Watch benefit the transferee must: Be the main, secondary or adult dependant member on the same Vitality policy as the transferor; Have Vitality Active Rewards activated; Have a Discovery Gold Card or higher product, in good standing*, with a straight limit of at least R and an available balance of at least R5 000; Have an iphone 5 or later to use Apple Watch. Pay a R600 non-refundable transfer fee for the Vitality Active Reward with Apple Watch benefit. * A Discovery Card account is in good standing if it is open, active and not in arrears for more than one month. The Discovery Card account is not in good standing if it is under debt review. A non-refundable transfer fee of R600, will be debited against the Discovery Card account linked to the benefit. This fee is over and above the original non-refundable R600 activation fee already paid by the transferor. The transferor will not be refunded the original R600 non-refundable activation fee. The Vitality Active Rewards with Apple Watch benefit can only be transferred once within 60 days of the Apple Watch being collected from the istore. The transferee is unable to transfer the Apple Watch benefit to anyone else. Please complete this form and submit it to us by at vitalityactiverewards@discovery.co.za. Please make sure that you sign this application form. The completion of this form does not guarantee that a transfer will be granted. Discovery Vitality reserves the right to decline the transfer of the Vitality Active Rewards with Apple Watch benefit. If a transfer request is denied you will receive communication with regards to the reason for the decline. Print name (the transferor) Print name (the transferee) - 1 -

2 Section A: Particulars of transferor This section must be completed by the transferor. I, the transferor, ID number:, request to transfer my Vitality Active Rewards with Apple Watch benefit to, the transferee. I, the transferor, would like to transfer the Vitality Active Rewards with Apple Watch benefit based on the selection below: Please tick the appropriate box below I, the transferor, want to transfer the Vitality Active Rewards with Apple Watch benefit. Should the transferee not achieve their weekly Vitality Active Rewards goals, the penalty debit must continue to be debited from the current Discovery Card account linked to the benefit. Option 1 By transferring the Vitality Active Rewards with Apple Watch benefit to the transferee, I, the transferor, agree that I will be responsible for the Vitality Active Rewards with Apple Watch benefit penalty payments and its associated billing rules. I (the transferor) authorise Discovery Vitality to issue and deliver debit order instructions to the bank for collection against the Discovery Card account linked to the benefit. I authorise Discovery Vitality to debit the Discovery Card account (issued by FNB Ltd) with a non-refundable transfer fee of R600. Option 2 I, the transferor, want to transfer the Vitality Active Rewards with Apple Watch benefit and the associated Discovery Card account linked to the benefit. Should the transferee not achieve their weekly Vitality Active Rewards goals, the penalty debit will be debited from the Discovery Card linked to the benefit as defined in Section C. By transferring the Vitality Active Rewards with Apple Watch benefit to the transferee, I, the transferor, agree that I will no longer be responsible for the Vitality Active Rewards with Apple Watch benefit penalty payments and its associated billing rules. Print name (the transferor) Print name (the transferee) - 2 -

3 Section B: Particulars of transferee This section must be completed by the transferee. I, the transferee, agree to the transfer of the Vitality Active Rewards with Apple Watch benefit as indicated in Section A above. ID number Vitality policy number Role on the Vitality policy (Please tick the correct box) Main Member Spouse Adult Dependant By accepting the transfer of the Vitality Active Rewards with Apple Watch benefit to me, I, the transferee, warrant that I will meet all my weekly Vitality Active Rewards goals every month for 24 months. Discovery Vitality will then cover the cost of the Apple Watch Series 2 Sport 38mm in full. If I don t meet my goals, the qualifying Discovery Card linked to the benefit will be debited by a monthly amount (penalty) that is calculated as a percentage of the retail price at the time of collection (pricing subject to change). I, the transferee, agree that I cannot transfer the Vitality Active Rewards with Apple Watch benefit to anyone else. I, the transferee, acknowledge that the benefit start date will remain the original date of the benefit when the transferor activated the benefit and the Apple Watch billing cycle will remain as the original date of when the transferor collected the Apple Watch Series 2 Sport 38 mm from the istore. I, the transferee, agree that I am fully aware of the Vitality Active Rewards with Apple Watch benefit Rules which appear on and agree to be bound by these rules. Print name (the transferor) Print name (the transferee) Section C: To be completed by the transferee This section must be completed by the transferee, if Option 2 in Section A was selected. Please provide the details of the Discovery Card account to be linked to the Vitality Active Rewards with Apple Watch benefit. Account holder name (Discovery Card account to be linked to the Vitality Active Rewards with Apple Watch benefit) I, the transferee, authorise Discovery Vitality to issue and deliver debit order instructions to the bank for collection against the qualifying Discovery Card account linked to the benefit. I authorise Discovery Vitality to debit the Discovery Card account (issued by FNB Ltd) with a non-refundable transfer fee of R600. I also authorise Discovery Vitality to debit the Discovery Card account (issued by FNB Ltd) with a monthly amount (penalty) on the 10th day of each month, for 24 months, if I don t meet my Vitality Active Rewards goals. I, the transferee, agree that if I default on any payment amount (penalty) due, I accept that Discovery Vitality may cancel this benefit. I understand that I cannot then return my Apple Watch to Vitality and I will be liable for the full remaining cost of my Apple Watch. I authorise Vitality to collect any remaining amount owed by me from the Discovery Card account straight facility linked to this benefit. If Discovery Vitality is unable to do so, I accept that the outstanding balance will be for my account and default interest will be charged on it. Print name - 3 -

4 Terms and conditions What you pay A non-refundable transfer fee of R600, will be debited against the qualifying Discovery Card linked to the Vitality Active Rewards with Apple Watch benefit. If the transferee accepts the transfer of this benefit, the transferee warrants that they will meet all their weekly Vitality Active Rewards goals each month for 24 months. Discovery Vitality will then cover the cost of the Apple Watch Series 2 Sport 38mm in full. If the transferee doesn t meet their goals, the Discovery Card account linked to the Vitality Active Rewards with Apple Watch benefit will be debited by a monthly amount (penalty) that is calculated as a percentage of the retail price at the time of collection (pricing subject to change). For example, the table below is based on an illustrative retail price at the time of collection of R7 400 (this is an example costing for illustrative purposes). If the transferee didn t meet all their goals in a month, the Discovery Card account linked to the benefit would be debited by up to R a month for 24 months (pricing subject to change). If the transferee achieved three of their four Vitality Active Rewards goals that month, just R would be debited due to their engagement in Vitality Active Rewards. Weekly Vitality Active Rewards goals met in a month The monthly amount (penalty) that will be debited from your Discovery Card (for 24 months) 100% 75% 50% 0% (Discovery Vitality will fund the monthly amount for your Apple Watch in full.) Connect the Apple Watch to earn Vitality Fitness points Connect the Apple Watch Series 2 Sport 38 mm to Vitality to start earning Vitality fitness points to achieve the weekly Vitality Active Rewards goals. Connect the Apple Watch through the Discovery app under Fitness devices and apps. Keep achieving goals to fund your Apple Watch and avoid penalties The transferor s weekly goal cycle commenced from the first full month after the transferor collected the Apple Watch Series 2 from the istore. The transferee will take on the remaining weekly goal cycle periods for the Apple Watch from the transferor from the month in which the transfer is complete. The transferee s weekly goals contributing to the Vitality Active Rewards with Apple Watch benefit will only be calculated from the month in which the transfer is complete, no weekly goals achieved prior to the month in which the transfer is complete will be considered. For example, the transferor collected the Apple Watch Series 2 on the 29 December Their first goal cycle period commenced on 1 January The goal cycle for January 2017 commenced on 1 January and ends on 31 January. A request to transfer the benefit to the transferee was received and completed by Vitality in January All weekly goals achieved by the transferee in the month of January will contribute to the January goal cycle and he/she will be responsible for any associated penalty charges should goals not have been achieved. If the transferee reaches all their goals each month, the Discovery Card account linked to the benefit will not be debited as Vitality will fund the Apple Watch benefit for that month in full. If the transferee does not meet any of their weekly Vitality Active Rewards goals, this will be seen as a breach of their commitment and their warranty. The transferee will then be liable to Discovery Vitality for a monthly amount (penalty) that will be debited from the Discovery Card account linked to the benefit. This amount can vary from person to person depending on the retail price of Apple Watch when the transferor collected the Apple Watch from the istore and depending on the number of goals not achieved for that month. If the transferee reaches some of their weekly goals in a given month, the penalty will be reduced by their engagement in Vitality Active Rewards (see example under What you pay ). The transferee will still be considered liable to Discovery Vitality for breaching their warranty for that month

5 Discovery Vitality will set a personalised Vitality Active Rewards goal for you each week. As Vitality is a dynamic programme which is based on a behavioural economics model, designed to consistently encourage you to improve your health, your goals can increase or decrease based on your goal history. The Vitality programme design will evolve as benefits are continuously enhanced as a result of scientific research. You will be notified timeously of all changes. By activating the Vitality Active Rewards with Apple Watch benefit, you give Discovery Vitality permission to debit monthly penalty amounts from the Discovery Card account straight facility linked to the benefit. To ensure that Discovery Vitality has time to calculate all your weekly goals in a month, you give Discovery Vitality permission to debit the Discovery Card linked to the benefit, if applicable, on the 10th day of the following month, for 24 months. We will start calculating your weekly goals from the first full calendar month after the transferor collected the Apple Watch from the istore. The first debit, if applicable, will occur on the 10th of the next month. If the debit order date falls on a weekend or a public holiday, you agree that your Discovery Card linked to the benefit will be debited on that day. Debit orders will continue, if applicable, for 24 months or until you settle the full cost of your Apple Watch Series 2 Sport 38mm. Please note that the penalty payment date for this benefit may be different to the usual debit order date for the Discovery Card account. When you activate this benefit, you agree that all payment instructions from Discovery Vitality may be treated by your bank as if the instruction has been issued by you. It is your responsibility to ensure you have enough funds in your straight facility for the non-refundable transfer fee of R600 and the monthly penalty amount, if any, to be debited. If the debit order is unsuccessful on the 10th of each month, you will be sent an or SMS. You will be liable for any related charges or fees. Please make sure you have enough funds in the straight facility so Discovery Vitality can try again on the 17th and 24th of the month. You ll need to allow for any necessary clearance periods. If the second attempt fails, you will be regarded as being in default and a default notice will be sent to your address on record. If a debit order is unsuccessful, Vitality will stop calculating your Vitality Active Rewards goals that count toward your Vitality Active Rewards with Apple Watch benefit. Once you have paid all amounts that are in arrears Vitality will start calculating these goals again. Any goals achieved during the period that you were in arrears will not be retrospectively allocated once you bring your account up to date. Any default on monthly penalties may result in an additional debit the following month to include the defaulted month s penalty debit amount. If Discovery Vitality is unable to collect the amount from your Discovery Card, the outstanding value of the Apple Watch Series 2 will be for your account and default interest will be charged on it. Default interest will be charged in line with the requirements of the National Credit Act (Act 34 of 2005). Returns or gifts Returns on Apple Watch will be governed by the distributor s policies. To view these, visit If you return your Apple Watch, your R600 activation fee will not be refunded. If you gift your Apple Watch to someone else, your personal Vitality Active Rewards goals will still be used for this benefit. This means that if you don t meet your commitment to achieve all your weekly Vitality Active Rewards goals for 24 months, it will be considered a breach of your warranty and the Discovery Card account linked to the benefit will be debited monthly, as applicable. If you want to change your Apple Watch 1 to an Apple Watch Series 2, the following will apply: First, you must settle the remaining cost of your Apple Watch 1 with Discovery Vitality. If you choose not to settle the remaining cost on your Apple Watch 1, the benefit will remain active and you will continue to pay the monthly penalty debits for the remainder of the 24 months. You must not have defaulted on any penalty debits with regards to your existing Apple Watch benefit. Once the cost is settled, the existing Apple Watch benefit will be cancelled. You will need to activate Vitality Active Rewards with Apple Watch for Apple Watch Series 2 and pay the R600 non-refundable activation fee. This is subject to passing the eligibility criteria. You can then use your proof of payment to collect your Apple Watch Series 2 at the istore. You can only settle your balance and activate the Apple Watch benefit for Apple Watch Series 2 from 1 November

6 GM_42047DHV_13/10/2016_V2 Transfers Transfers can only occur once in a Vitality Active Rewards with Apple Watch benefit cycle within 60 days of the original collection of the Apple Watch from the istore by the transferor. Trade-in If you wish to trade in your Apple Watch 1, please contact istore directly. Loss or damages Should your Apple Watch be lost, stolen or damaged, the Discovery Card account linked to the benefit will still be liable for any Vitality Active Rewards with Apple Watch penalty debits incurred for the remainder of the benefit. Product warranties are subject to istores and Apple rules. Ending the benefit, downgrades and re-instatements If you do not collect your Apple Watch within three months of activation, your proof of payment will expire (see Use your proof of payment to collect your Apple Watch above). Your Vitality Active Rewards with Apple Watch benefit will be cancelled if: You cancel your benefit, your Vitality policy, your Vitality Active Rewards benefit, or your qualifying Discovery Card. You downgrade to a Vitality policy or a Discovery Card that does not cater for this benefit, like a KeyFIT policy or a Discovery Blue Card. You reduce the straight limit of your Discovery Card to lower than the limit required to be eligible for this benefit. Your qualifying Discovery Card is no longer in good standing.* * Your Discovery Card account is in good standing if it is open, active and not in arrears for more than one month. Your account is not in good standing if you need to undergo debt counselling. If your benefit is cancelled, your R600 activation fee will not be refunded and you cannot return your Apple Watch to Discovery Vitality. You will then become liable for the full remaining cost of the Apple Watch Series 2 Sport 38mm which Discovery Vitality will collect from your qualifying Discovery Card. If you cancel your Apple Watch debit order with your bank, you are still liable for the full remaining cost and you cannot claim back any amounts that have already been debited. Sharing of information The transferee agrees that Discovery Vitality and istores in South Africa may share your personal information in order to administer the benefit. To view a full list of our Privacy Terms and Conditions, please go to The transferee also agrees that Discovery Vitality can use your address on record to send all legal communication. It is your responsibility to make sure your contact details are fully updated with Discovery. You can view and edit these details by logging in to Find out more To find out more about this benefit, check the Vitality Active Rewards with Apple Watch FAQs on Stay in touch Terms and conditions apply. If you have any questions or need more information about this benefit, please visit and click on Vitality or call If, for any reason, there is a conflict between rules in this benefit guide and the Vitality Main Rules the Vitality Main Rules will apply at all times. Discovery Vitality Contact centre info_vitality@discovery.co.za Discovery Discovery Vitality (Pty) Ltd is an authorised financial services provider. Registration number: 1999/007736/07.

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