JHGC Membership Form

THE JOHANNESBURG HOLOCAUST & GENOCIDE CENTRE

MEMBERSHIP FORM
Company Reg No: 2020/670800/08
PBO Reg No: 930070639

Membership costs R540.00 per person per annum

I hereby request annual membership for*

1 Person2 Persons3 Persons

I am*

renewing my annual membershipnew member(s)

Member Name(s)

Name*

First NameLast Name

Name

First NameLast Name

Name

First NameLast Name

Primary Member Email*

example@example.com

Primary Member Address

CityState / Province

Postal / Zip CodeCountry

Primary Contact Number (pref. mobile)*

Country CodeArea CodePhone Number

Payment Options provided by

All amounts are processed in ZAR (Rand)

Methods include: Credit, Debit & Cheque Card,
Instant EFT, Masterpass, Snapscan & Zapper

Membership options*

Automatically Renewing Annual Membership Full Price per person(540.00ZAR for each year)

This membership will automatically renew every year. You can cancel this at any time.

Automatically Renewing Family Discounted Annual Membership R450 per person(ZAR for each year)

This membership will automatically renew every year. You can cancel this at any time. Please only select this option for two or more people included in one membership

Yearly Annual Membership Full Price per person(540.00ZAR one-time payment)

This membership is valid for one year only. You will be contacted next year to renew your membership and resubmit this form.

Yearly Family Discounted Annual Membership R450 per person(ZAR one-time payment)

This membership is valid for one year only. You will be contacted next year to renew your membership and resubmit this form. Please only select this option for two or more people included in one membership

Thank you for your contribution.

DONATION

If you would like to donate to the Johannesburg Holocaust & Genocide Centre, in addition to renewing or joining the Annual Membership Programme, please follow the onscreen "Donate" link which will be visible after you have made your membership payment, and will also be included in your acknopwledgement email.

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