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Its great that you clicked on this page - your community initiatives need all the help they can get!  

Please complete and submit the membership form below and direct bank to:

ACCOUNT NAME

SOUTHBROOM RATEPAYERS ASSOCIATION SOUTHBROOM CONSERVANCY
BANK Standard Nedbank
BRANCH Margate Port Shepstone
BRANCH NUMBER 057528 139828
ACCOUNT NUMBER 053386744 1398104930

If you would like to get in touch with a committee member, please call 083 654 6922.

If you would prefer to download the form, click here. Completed forms can be emailed to jaxpratt@mweb.co.za.

MEMBERSHIP FORM

Do you wish to join Southbroom Ratepayers Association or Southbroom Conservancy, or will you be supporting both initiatives?

Association

 

The annual subscription for Southbroom Ratepayers is R300. Will you be adding a donation to your Ratepayers subscription?

 

Yes

No

If your answer above is "Yes", please indicate the amount that you are willing to donate.

 

Southbroom Conservancy has different types of membership. Which category would you prefer?

(Note: If you do not wish to support the Conservancy, select "Ratepayers Association only")

Membership Type

 

Tell us how to get in touch with you, and your address in Southbroom.


Name & Surname


Email Address


Landline

Cellular

Fax


Lot No

Street


Thank you for your support.

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