Cape Bird Club Membership – Cape Bird Club

Personal Detail

Title

Initials

First Name

Surname

Date of Birth

Month

Year

Home Phone

Work Phone

Fax Number

Cellphone Number

Postal Address

Please fill in your full postal address including the postal code.

Physical Address

Please fill in your full physical address including the postal code.

Email Address

Membership Detail

The Cape Bird Club is an Affiliate Member of BirdLife South Africa. . Membership is for 12 months from the date of joining and is renewable each year. Members have the option to become members also of BirdLife South Africa. Membership Rates are valid until 30 June 2023.

Please select your options below.

Cape Bird Club Membership for:

Individual (R340)

Senior Citizen (R255)

Student (R230)

Student under 18 (R0)

Individual: standard membership, Senior Citizens: 60 years and older. Student: 17 years and younger or over 18 and in full time study.

BirdLife South Africa Membership

Yes, I'd like to join BLSA

I'm already a member of BLSA

Please indicate if you would like to apply for BLSA membership.

Type of BLSA membership

Individual (R375)

Senior Citizen (R170)

Student (R150)

If you are already a member of BLSA, enter your BLSA membership number

Where did you hear about the Cape Bird Club?

Family Members Detail

I'd like to include my Spouse (+R122)

Spouse / Partner Date of Birth

Please use the format dd/mm/yyyy e.g. 31/12/1980

Spouse / Partner Title

Spouse / Partner Name

Spouse / Partner Surname

I'd like to include my child / children (FREE)

Child 1: Date of Birth

Please use the format dd/mm/yyyy e.g. 31/12/1980

Child 1: Title

Child 1: First Name

Child 1: Surname

Child 2: Date of Birth

Please use the format dd/mm/yyyy e.g. 31/12/1980

Child 2: Title

Child 2: First Name

Child 2: Surname

Child 3: Date of Birth

Please use the format dd/mm/yyyy e.g. 31/12/1980

Child 3: Title

Child 3: First Name

Child 3: Surname

Optional Extras

Magazine African Birdlife (6 issues pa) - optional

I would like to include the magazine with my membership

Members of BLSA can subscribe to the magazine at a reduced rate. Please indicate below if you would like to include the magazine with your membership. BLSA member (R340,00) Non-BLSA member (R360.00)

Payment

Payment must be made by EFT or Direct Deposit into BIRDLIFE SOUTH AFRICA’s bank account:
First National Bank
Bank Account No: 620 6750 6281
Branch Code25 06 55
Reference: CBC plus Surname and Initials

Please send proof of payment to Linda Merrett:
Email: lindamerrett@gmail.com
Or Post to Cape Bird Club Membership,
P.O.Box 2113, Clareinch, 7740.

Total Payment Due (in South African Rands)

Date of Payment

Please use format (dd/mm/yyyy) e.g. 20/07/2022

Once you submit this form you will receive a confirmation email from us with the bank details in order to make your payment. Thank you.

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Cape Bird Club Membership Form

Personal Detail

Membership Detail

Family Members Detail

Optional Extras

Payment