Online Community Subscription Form

Name*

First NameLast Name

Email*

example@example.com

Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

POPIA / Data Privacy*

Ek verstaan dat my persoonlike inligting versamel en veilig gestoor sal wordvolgens die bepalings van die Wet op die Beskerming van Persoonlike Inligting(POPIA).Ek gee toestemming dat Sensory Weightloss my kontakbesonderhede maggebruik om met my te kommunikeer oor die toets, intekening of verwantedienste.Ek verstaan dat my inligting nie met derde partye gedeel sal wordsonder my toestemming nie.I understand that my personal information will be collected and stored securely inaccordance with the Protection of Personal Information Act (POPIA).I consentthat Sensory Weightloss may use my contact details to communicate with meregarding the assessment, subscription, or related services.I understand thatmy information will not be shared with third parties without my permission.

Confidentiality Agreement*

Ek verstaan dat alle inligting wat ek in die community deel, vertroulik behandel word en ek stem in om dieselfde respek teenoor ander lede te handhaaf.I understand that all information I share in the community will be treated confidentially, and I agree to show the same respect toward other members.

Consent to Participate*

Ek stem in om deel te neem aan die Sensory Weightloss community, en ek verstaan dat dit nie ’n vervanging vir mediese behandeling is nie, maar ’n ondersteuningsruimte.I agree to participate in the Sensory Weightloss community, and I understand that this is not a replacement for medical treatment, but a supportive space.

My Subscriptions

Monthly Subscription

399.00ZAR for each month

6 Months Subscription

2,299.00ZAR for each six months

12 Month Subscription

4,569.00ZAR for each year