Member Application / Aansoek Form
Mountain Club of South Africa - Paarl / Wellington Section
Bergklub van Suid Afrika - Paarl / Wellington Afdeling
Surname / Van *
Your answer
Name / Naam *
Your answer
Date of Birth / Geboorte Datum *
MM
/
DD
/
YYYY
Membership Type / Lidmaatskap soort
The following membership categories exist. Please note that only one journal per family is allowed. /
Die volgende lidmaatskap kategorie bestaan. Neem ook asb kennes dat slegs een journaal per huishouding beplan word.

Member / Lid: R220 (over 70s R150)
Couples / Egpaar: R290 (over 70s R200)
Students / Studente: R75
Juniors < 18: R45 (Kry geen PAA nommer)

Juniors may only apply if their parents are members.
Juniors mag slegs aansoek doen indien hulle ouers ook lid is.

Membership Type / Lidmaatskap soort
Family / familie
Is this application part of family?
Wild Card
Since we hike a lot in Cape-Nature areas, it is helpful to have members wildcard details handy. Especialy when booking permits.
Ons stap baie in Cape-Nature gebied. Wanneer ons permitte reel, vergemaklik dit die taak van die organiseerder om die Wid Card nommers byderhand te he.
Wild-Card Number / Nommer
Your answer
Wild-Card expiry date / verval datum
MM
/
DD
/
YYYY
Particulars / Besonderhede
Street Address / Straat Adres *
Your answer
Suburb / Woonbuurt *
Your answer
Town/Area / Dorp/Stad *
Your answer
Code / Kode *
Your answer
Tel House/Huis
Your answer
Tel Work / Werk
Your answer
Cell / Sel *
Your answer
E-Mail / E-Pos *
Your answer
Occupation / Beroep
Your answer
Note
Please note we will require a clear ID-type photo, which will be used on your membership card, and so must be recognisable. This can be emailed to mcsapw@gmail.com .

By submitting the form you agree to abide by the MCSA code of conduct as can be viewed on our website: www.mcsapw.co.za .

Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service