Please enable JavaScript in your browser to complete this form.Name *FirstLastMobile Number *Email *Current Handset *PLEASE SELECT THE RELEVANT PACKAGE(S): *EX1: iPhone 6 to XS Max, Samsung Galaxy A Series, S/G S9 – Note 10, Huawei Y/P Series - 6 GUARDS / $10 (USD)EX2: iPhone 6 to XS Max, Samsung Galaxy A Series, S/G S9 – 10, Huawei Y/P Series - 12 GUARDS / $15 (USD)EX3: iPhone 11 – 12 Pro Max, Samsung Galaxy S20 to S21 Ultra – 6 GUARDS / $15 (USD)EX4: iPhone 11 – 12 Pro Max, Samsung Galaxy S20 to S21 Ultra – 12 GUARDS / $20 (USD)EX5: iPhone 7P, 8P, X, XS MAX (Privacy) – 6 GUARDS / $15 (USD)EX6: iPhone 7P, 8P, X, XS MAX (Privacy) – 12 GUARDS / $25 (USD)EX7: iPhone 11 &; 12 Series (Privacy) – 6 GUARDS / $20 (USD)EX8: iPhone 11 ; 12 Series (Privacy) – 12 GUARDS / $30 (USD)Terms and Conditions *I have read and understood and hereby agree to all the clauses set out in this “Terms & Conditions of Service” *X-Care is a service provided by Electro X Zimbabwe (Private) Limited to registered members. 1. I am knowingly and willingly signing up to the Electro X Zimbabwe: X-Care service at the indicated price per package which is billed in advance. 2.I understand that the aforementioned packages (EX1 – EX8) only include coverage for the screen guards, and not the actual screen of the device. Screen guards serve as additional protection to the screen of a gadget, but do not prevent it from breaking / cracking. Should anything happen to the actual screen (either by fall damage, scratches, etc), Electro X Zimbabwe cannot be held liable or be obligated to perform any repairs. 3.I understand that to claim my service (i.e. Screen Guard replacement), I am required to present my membership card as proof of membership. Should I fail to do so, Electro X Zimbabwe reserves the right to deny me service. 4.If a member upgrades their handset (within the same package group) and they have not exhausted their screen guard replacements, they are entitled to the continuance of their service until exhaustion. If a gadget upgrade is done to a different package group, and upgrade is done via Electro X Zimbabwe, then the member is entitled to service continuation at no additional cost. However, if upgrade is done externally, then the member will be required to pay the difference between the package groups for the continuation of their service to take effect 5.Loss of X-Care membership card will attract a replacement fee of $1 6.Sharing (between 2 or more persons) of membership cards in order to claim undeserving service is strictly prohibited.Applicant Signature *Date Signed *Submit Share this: Click to share on Facebook (Opens in new window) Facebook Click to share on X (Opens in new window) X