This page requires javascript to run.

Register New User - Cardholder

Enter ALL of the following to enroll:

First Name:
Enter exactly as shown on your Quikcard - Exclude any initials

Last Name:
Enter exactly as shown on your Quikcard

Date of birth:
dd/mm/yyyy, include leading zeros eg. 01/01/1960

Group Number:
Enter exactly as shown on your Quikcard

Card Number:
Enter exactly as shown on your Quikcard

Desired Password:
Do not use dashes or spaces - 6 or more alpha/numeric characters only

Re-enter Password:
Re-enter same password to verify

Security Question:
eg. What is my favourite pet's name?

Security Question Answer:
eg. Spot

EMail Address: