IF YOU JOIN IN THE MIDDLE OF A MONTH, YOUR MEMBERSHIP ONLY STARTS FROM THE BEGINNING OF THE NEXT MONTH, SO DON'T DELAY !

Simply copy and paste complete block below onto a word document, complete Sections 1 and 2, make the necessary payment and Email or fax by return with proof of payment - If you don't succeed, please EMl us and we'll fax or Email the Application to you

MEMBERSHIP FEE : R250 for 6 months BANKING DETAILS: NEDBANK Transmission Branch Code 167609 Account Name : HE de Wit Account Number : 2676022288 SECTION ONE APPLICATION FOR MEMBERSHIP A C T I V I T Y   M E M B E R DATE MEMBERSHIP NO SURNAME FIRST NAME GENDER AGE              BIRTHDAY TEL Res TEL Bus FAX CELL EMAIL  STATUS : SINGLE         MARRIED         WIDOWED          DIVORCED RESIDENTIAL ADDRESS:   METHOD OF PAYMENT  TRANSFER  CASH DEPOSIT  CHEQUE DEPOSIT SECTION 2 Join INspirational CHAPTER only - place X here Join both INspirational CHAPTER & FUN 'n CREATIVE ACTIVITIES - place X here and complete categories below   Preferred Activities - please place an 'X' where appropriate   A  R  T  S     A   N   D  C  R  A  F  T  S    POTTERY  DECOUPAGE  PAINTING  WOODWORK  MOSAIC  WRITING  PHOTOGRAPHY  GIFTING  DOLL-MAKING  SCRAP-BOOKING  BEADING  OTHER         S P O R T  G E N E R A L      TENNIS  SQUASH  GOLF  BASKETBALL  SOCCER  NETBALL  VOLLEYBALL  ARCHERY  OTHER        W A T E R  S P O R T S      KAYAKING  FISHING  DIVING  SURIFING/ALL  SAILING  WATERSKIING  JET SKIING  OTHER  O  U  T    D O O R      CAMPING  HIKING  WALKING  MOTORBIKING  CYCLING  4X4-ING  GAME RESERVING  RUNNING  SNOW SKIING  BIRD WATCHING  OTHER    M U S I C        SINGING  TUITION  GROUP  INSTRUMENT  OTHER          L I V E   S H O W S      THEATRE/BALLET /CINEMA  OPERA/SYMPHONY /CLASSICAL  LIVE MUSIC  OTHER  D A N C I N G        LATIN  BALLROOM  BALLET  BELLY  NIA  SALSA  OTHER    F I T N E S S  W E L L B E I N G      AEROBICS/GYM  SWIMMING  TAI CHI  YOGA  OTHER        G E N E R A L        WORK with ELDERLY  WORK with CHILDREN  CATERING OVERSEAS TRAVEL  BOOK CLUBS  COMMUNITY WORK  WEEKENDS AWAY  HOME INDUSTRY  CHARITY WORK  WORK with ANIMALS  LOCAL HOLIDAYS  DRUMMING  BOARD GAMES  CARD GAMES  COFFEES/LUNCHES /DINNERS  RETREATS  BOAT CRUISES  LEARNING LANGUAGES  OTHER