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 (R365)

Senior Citizen (R273)

Student (R245)

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 (+R130)

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? Please note that only Admins can post on the WhatsApp group.

Yes

No

Our flagship magazine, Promerops, is available to you in your choice of format. Please select your preferred method of delivery:

Electronic copy sent to you by e-mail

Hard copy delivered to your postal address

Hard copy made available for your collection at evening meetings

Hard copy made available for your collection at club outings

The CBC sends out a monthly newsletter by email, with additional notices being sent out in between. It lists the activities of the coming two months, and any changes in date, time or venue are highlighted. We strongly recommend that you subscribe.
As Mailchimp cannot add members automatically to the address list, members need to subscribe, using the following link:
www.capebirdclub.org.za/enewsletter/ (clicking on this link will open the page in a new window).

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.

Total Payment Due (in South African Rands)

Date of Payment

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

Cape Bird Club Membership Form

Personal Detail

Membership Detail

Family Members Detail

Payment