COLLEGIANS' CLUB MEMBERSHIP APPLICATION FORM

COLLEGIANS' CLUB PIETERMARITZBURG
MEMBERSHIP APPLICATION FORM
Proposed Members Surname
First Names
Identity Number
Date of Birth

DayMonthYear
Date
Occupation
Business Address
Residential Address
Email
example@example.com
Main Cell No
Format: (000) 000-0000.
Alt Cell No
Format: (000) 000-0000.
I am/have been a member of the following Clubs:
Name of Previous Club
Date of Resigning

MonthDayYear
Date
Name of Previous Club
Date of Resigning

MonthDayYear
Date
I Wish to join the following Sub-Sections (Each Sub-Section required a separate fee as determined independently. Please obtain membership applications forms from each Sub-Section.)
Signature of Proposed Member
Subsection Committee Members Only
Proposer Signature
Date of joining Club

MonthDayYear
Date
Seconder Signature
Name of Seconder
Date of joining Club

MonthDayYear
Date
Collegians Club Only
Executive Member 1:
Executive Member 2:
Amount: R
Amount: R
Total: R
Membership Fees 2026:

Compulsory Swipe Card R55 (Once-Off-Excl Juniors)

Ordinary Member R440

Pensioner R400

Juniors 12 - 18 R120

Sub-Section Member R440

Students (18-25) R200

Juniors U 12 R65
Members Number
Date

MonthDayYear
Date
Chairman Signature
Should be Empty:

MEMBERSHIP APPLICATION FORM