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

Membership is for 12 months from the date of joining and is renewable each year.

Please select your options below.

Cape Bird Club Membership for:

Individual (R355)

Senior Citizen (R265)

Student (R240)

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.

Where did you hear about the Cape Bird Club?

Family Members Detail

I'd like to include my Spouse (+R127)

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

OPTIMUM MEANS OF COMMUNICATION
The most efficient way to send out important messages to members is by WhatsApp.

Do you give us permission to add your name and cell phone number to our WhatsApp group?

Yes

No

Payment

Payment must be made by EFT or Direct Deposit into the Cape Bird Club bank account:
Nedbank
Bank Account No: 104 638 0400
Branch Code: 104 609
Reference: Surname and Initials

Please send proof of payment to Linda Merrett:
Email: membership@capebirdclub.org.za
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.

Cape Bird Club Membership Form

Personal Detail

Membership Detail

Family Members Detail

Payment