Funeral Cover Application Form Complimentary Consultation To be completed by all new clients joining the HBA Funerals Family. Full Names Email address Phone number Alternative Phone No. Province Select KwaZulu Natal Gauteng Free State Limpopo North West Northern Cape Western Cape Eastern Cape Mpumalanga City Residential Address Do you currently have a funeral cover? Select Yes No How many people would you like to cover? Will you all be buried in the same district? Select Yes No Type of Service Select Cremation Burial Type of Funeral Package Select Standard Prepaid Funeral Pack Elite Prepaid Funeral Pack SADC Prepaid Funeral Pack Main Member ID Copy Dependant(s) ID Copy Submit
