RAA Membership Registration
A G.D. Media Production House® Proud Initiative. Please fill out the form below to register for membership.
Personal Information
Full Name & Surname
*
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Gender
Male
Female
Other
Prefer not to say
ID Number
Marital Status
Single
Married
Divorced
Widowed
Highest Education
Institution
Specialty
Experience
How did you know about R.A.A.?
Address
Cellphone
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
example@example.com
Purpose of Subscription
Referrals
Additional Questions
Have you been a Scout?
*
Yes
No
Club or Society Affiliation
If yes, where were you initiated?
Corporate Information
Name of Company
*
Product or Service
Number of Employees
Tax Number
Registration Number
Directors
Telephone
Please enter a valid phone number.
Format: (000) 000-0000.
Cellphone
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Specialty
Accreditation
How will R.A.A. help your company?
Referred
Capitec Bank, Account Number: 1366468161. Scan to Pay QR code also available.
Alternative Payment Method: PayPal — https://www.paypal.me/GDMPH147
Payment Process
Capitec Bank Transfer (Acc: 1366468161)
Scan to Pay (QR Code)
Cash
PayPal (paypal.me/GDMPH147)
Other
Representative Approval
Document Uploads
Please upload the following required documents:
Company Logo
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of
ID Document
*
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CV
*
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Registration Certificate (CK)
*
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Corporate Identity
*
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of
Submit
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