Family Membership
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Spouse name and surname
First Name
Last Name
Please specify children's names and ages
Please note, if you have more than 3 children, an extra R30 per child applies. Please contact Lettie for payment.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Are you
*
Registering for the first time
Renewing Family Membership
Language preference
English
Afrikaans
Submit
Should be Empty: