Grasslands Membership Application & Information Update Form
YOU are responsible for keeping the CLUB informed, on a regular basis, of any personal changes to your status in regards to Address, Communications, Next-of-Kin and Membership - in order for the Committee to serve the CLUB community correctly. Please complete this form to the best of your ability.

All information received will be protected in accordance to our Privacy Policy which is available on our web site: https://grasslandsflyingclub.co.za/privacy.php

Email address *
MEMBERSHIP
Type of Membership? *
Call Sign
Your answer
SAPHA Nr
Your answer
PERSONAL DETAILS
Title *
Surname *
Your answer
Full Names *
Your answer
Name you are called by *
Your answer
ID No: *
Your answer
Occupation *
Your answer
Blood Group *
Your answer
Medical Aid Number *
Your answer
Medical Aid Group *
Your answer
CONTACT DETAILS
Work Telephone Number
Your answer
Home Telephone Number *
Your answer
Cell Number *
Your answer
E-Mail Address *
Your answer
Residential Address *
Your answer
NEXT OF KIN
Next of Kin/Spouse Name *
Your answer
Next of Kin/Spouse Telephone Number *
Your answer
Next
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