Membership Application Form

MUIZENBERG Electricity Co-operative

Membership application please complete all questions.
Name*

First NameMiddle NameLast Name
Address

Street Address

Street Address Line 2

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Zip CodeCountry
E-mail
example@example.com
Contact Number
I hereby apply for membership in the Muizenberg Electricity Cooperative. I agree to comply with its rules and codes as set out in its constitution, and to pay for any products or services supplied according to the attached schedule. I agree to the cooperative campaigning on my behalf to put an end to load shedding and for community-based electricity tariffs that could benefit the scheme in the future.

Our schedule of services and products available to members will be available on our website and amended from time to time as too the code of conduct
Types of Membership:

Individual: R 50 once off membership

Contributions are accepted ... (exacmple: R150 to RR350... or what you deem relevant in our fight to resolve the crises)

You becoming a member adds a voice in the fight against energy crises

Business: R 1,500 once off membership

As the most affected in this energy crises feel free to increase the amount to what you deem relevant in the fight to resolving loadshedding

Please google Muizenberg Energy Crises and read the News 24 Press releases

As a member you will receive regular updates on our projects collaborations and news which affects us all

I hereby acknowledge that terms of membership in the cooperative may be subject to change, pending adoption of our constitution.

Terms & Conditions may apply with regarding to the above listed offerings.
Date of Signature*

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Date
Signature*
Make a payment to Muizenberg Electricity Co-operative

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Pay with your debit or credit card using the link above and please indicate which membership you are applying for (I, B)
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MUIZENBERG Electricity Co-operative