SPCA Windhoek Membership Application
Complete this form to apply for (or renew) your SPCA Windhoek membership and submit your details for review.
Membership type and status
Membership type
*
Annual Individual Membership – N$365.00
Annual Senior Individual Membership (65 and over) – N$200.00
Annual Student Individual Membership – N$50.00
Individual 10-Year Membership – N$3,000.00
Annual Company Membership – N$5,000.00
Is this a new membership or a renewal?
*
New membership
Renewal
Existing membership number
Back
Next
Personal details
Title
*
Please Select
Dr.
Ms.
Mrs.
Mr.
Prefer not to say
Other
Please specify
*
First name
*
Last name
*
Company name
Mobile number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email address
*
example@example.com
P.O. Box
Neighbourhood
*
City / Town
*
Back
Next
Stay connected
Would you like to receive SPCA Windhoek's weekly newsletter by email?
*
Yes, please subscribe me
No, thank you
Would you also like to hear about…
Volunteering opportunities
Fundraising events (e.g. Animals by Night)
Adoption and foster appeals
Committee / governance updates
How did you hear about SPCA Windhoek membership?
Please Select
Website
Facebook / Instagram
Newsletter
Friend or family
Event
At the shelter
Other
Back
Next
Declaration and signature
Declaration
*
I / the Company hereby certify that, if my membership application is accepted, I shall support the organisation's vision and mission statement in all my daily contacts and will abide by the constitutional documents of the SPCA Windhoek. I / the Company agree to pay the membership fee in accordance with the bylaws of the SPCA Windhoek.
I consent to SPCA Windhoek storing my personal details for membership administration and to contact me about my membership.
Electronic signature
*
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Please review the declarations above before signing.
Back
Next
Payment
Banking details: Account Name: SPCA Windhoek| Bank Name: First National Bank | Branch: Maerua Mall | Branch Code: 282273| Account Type: Current Account | Number: 62247995915
Total N$ due
Submit application
Submit application
Please upload proof of payment or email to membership@spcawindhoek.org.na.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Should be Empty: