Membership Application Form - GSD Federation of South Africa

Membership Application

Online Application Form
Primary Member Information
Full Names*

TitleInitialsFirst Name(s)Last Name
ID Number*
Valid South African ID number, Passport Number (Only if international Member) or Date of Birth (in the case of Minors)
Membership Type
Please select which type of membership you are applying for. If family membership, please complete next section below.
Additional Family Members

Complete only if you applied for family membership. Provide date of Birth if ID number is not available. Family membership only applies to children of the same parents, living in the same household.
1st Additional Member

First NameID Number
2nd Additional Member

First NameID Number
3rd Additional Member

First NameID Number
4th Additional Member

First NameID Number
Primary Contact Information
Postal Address

Address

Street Address Line 2

CityProvince

Postal Code
Residential Address*

Street Address

Street Address Line 2

CityProvince

Postal Code
Cell Number*
Additional Contact Number (Cell)
Additional Contact Number (Home)
Additional Contact Number (Work)
Email Address*
example@example.com
Additional Email Address
example@example.com
Previous & Club Membership Details
Have you previously been a member of the GSDF?*
If "Yes", Provide Previous Membership Number:
Are you a Member of a GSDF Local Club?*
If "Yes", Provide First Club Name:
Provide Names of Additional Clubs you belong to, if Applicable:
Declaration and Signature

I, the undersigned, have read and understand the Terms & Conditions of membership of the German Shepherd dog Federation of South Africa. I accept that this application is subject to acceptance of the GSDF. If accepted, I undertake to abide by the Constitution of the GSDF and all its Rules and Regulations, as available on the official website. I accept that a portion of my membership fee may be paid to the bodies with which the GSDF is affiliated. I understand and agree that my signature herein binds all other applicants indicated as family members or minors herein. If primary applicant is a minor, this application shall be signed by a legal guardian.
Full Names*
Date*

DayMonthYear
Date
Authorized Signature*

Clear
BEFORE YOU SUBMIT THE FORM, ENSURE THAT ALL DETAILS ARE CORRECT. SUBMITTING THIS FORM WILL AUTOMATICALLY GENERATE THE MEMBERSHIP APPLICATION, AND CANNOT BE EDITED. SUMBITTING THIS FORM WILL AUTOMATICALLY SEND IT TO THE OFFICES, AND TO THE PRIMARY EMAIL ADDRESS INDICATED HEREIN.
Should be Empty:

Membership Application

Primary Member Information

Additional Family Members

Primary Contact Information

Previous & Club Membership Details

Declaration and Signature