Membership Forms

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Please use the membership form outline below and send proof of payment if done electronically or through direct deposit

== Friends of Chintsa Membership Form ==

==

Full Name:

Residential Address:


Postal Address:


Contact Number:

E-mail:


Areas of interest:


Skills (for sharing):


The membership fee is a minimum of R10. This subscription is for the current calendar year (Jan-Dec). Please feel free to contribute to the association generously. Paid (min R10) Affiliated to WESSA