TO VIEW REACT CLUB BROCHURE ... CLICK HERE

Please complete the REACT Club Membership form below to start reaping all the benefits and privileges that the REACT Auto Club has to offer. Annual membership of $2500 + GCT (non-refundable)
REACT CLUB
MEMBERSHIP FORM
SURNAME:
FIRST NAME:
MAILING ADDRESS:
HOME PHONE:
CELL PHONE:
EMAIL ADDRESS:
GENDER: M F                     DATE OF BIRTH:
OCCUPATION:
MAKE OF VEHICLE:    YEAR:
MODEL:
DATE OF INSURANCE RENEWAL:
INSURED WITH:
OPTIONAL BENEFITS:
Personal Accident Insurance
Premium: $1,500 $2,000 $2,750
BENEFICIARY:
How did you hear about the REACT CLUB?
  • Mailing                 
  • Brochure             
  • Advertisement   
  • Newspaper          
  • Website               
  • Broker: (specify)       
  • Referral (specify)       
  • ICWI branch (specify)


Make cheque payable to ICWI, mail to 2 St. Lucia Avenue, Kingston 5 or drop off at any of our convenient branches


24 Hour Emergency
Lines

On the Spot
Repairs

Security
if necessary

Alternative
Transport

Towing
if necessary

First Aid and/or
Ambulance

 
REACT CLUB may be contacted at:
Telephone: (1-888-92-REACT) 1-888-92-73228
Email: react@icwi.net