Membership Registration Form

Create an Account / Update info 2024

Complete the form below to sign up or update your latest information, this will ensure you stay up to date with the correct information and be placed on the correct communication groups
Full Name*

First NameLast Name
Title
E-mail:*
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Employer (If applicable)
Select Category

KTSKTKTGOther
HPCSA Nr (only the numerics)
Practice Nr
If applicable
ID Number*
Category (If Student, please select your desired category)*

CardiologyNephrologyPerfusionCritical CareNeurophysiologyReproductive BiologyPulmonologyStudent
Qualification/s
Position

Working for another PractitionerPrivate Practice OwnerUniversityReasearchRepresentative of Medical CompanyRetiredStudentGovernment Sector PractitionerWorking for a corporate company like NRC / BBraun exedraOther
Please select what you think SACTA is doing as we speak

NothingNegotiate and deal with issues from NDOHNegotiate and deal with issues from Medical AidsDeal with issues from paid up membersCompiling billing bookletsDeliver opinions to medical aid and medical related legal issuesGuide Task TeamsArrange CPD meetingsConnect with Universities regarding further qualifications lolDeal with HPCSADeal with SAHPRAAll of the above except nothing
Did you know SACTA have a full time office and society administrator

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Have you paid membership for 2024 (Students select NA)*
If you have been Referred by someone please type their full name and surname here
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2024 Member SubscriptionYearly Membership - No pro-rata - No Penalty for late payment
495.00ZAR

2024 Clin Tech Student / Retired Membership for students and retired technologists are free
FreeZAR

Total

0.00ZAR
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Create an Account / Update info 2024