Membership Application Form

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GENERAL INFORMATION

Surname *

Full First Names *

Postal Address *

Postal Code *

Residential Address *

Postal Code *

Telephone Home

Telephone Business

Fax No.

Cell *

Email Address *

Date of Birth *

ID No. *

Upload a copy of your ID Document (or birth certificate for juniors)

Occupation *

Name of Employer *

CATEGORY OF MEMBERSHIP APPLIED FOR: (FEES APPLICABLE UNTIL 31.08.2022)

Membership Category	Entrance Fee	Annual Subs	Chasa CEO	Total incl. VAT
Ordinary Membership (21-65yrs)	R400	R1290	R50	R1740
Junior Membership (12-20yrs)	R0	R195		R195
Senior Membership (65+)	R400	R460		R860
Wife of existing member	R0	R380		R380
Overseas Membership (ord. snr)	R450	R1550	R50	R2050
Overseas Junior Membership	R350	R525		R875
Associate Membership	R400	R610		R1010
Child (0-11yrs)				FREE

OPTIONAL: Additional R150 contribution to receive the biannual Nyala News magazines

Yes

Tick to indicate the Branch of your choice: Have you ever been refused membership or been expelled from a Hunting & Conversation Association?

Yes

What are your reasons for joining the Association?

Are you able to assist the Association in achieving its objectives? If yes, explain how

Where did you hear about us? *

PAYMENT OPTIONS:

A. Cheque or cash payments to the office (No cash by post please)
B. Direct deposit or Electronic Transfer -
Bank: FNB Pinetown
Branch Code: 221626
Account Number: 58880792280
Reference: Your tel no. and name
Fax proof to +27 (0)31 709 3914 or Email to hannelie@kznhunters.co.za

THE ASSOCIATION WILL TAKE NO RESPONSIBILITY FOR ANY FORMS AND/OR MONEY HANDED TO INDIVIDUAL MEMBERS. IT SHOULD BE SUBMITTED TO NATIONAL OFFICE AT 45 MAURICE NICHOLS ROAD, HATTON ESTATES, PINETOWN, 3610 OR P.O. BOX 782, WESTVILLE, 3630 (for postal items) OR E-MAILED TO hannelie@kznhunters.co.za OR FAXED TO +27 (0)31 709 3914

DECLARATION

Do you prefer an English or Afrikaans copy of "The Hunter's Handbook"?

English

Afrikaans

Name of Proposer

Membership Number

How long have you known the applicant?

Name

Date

I, the undersigned, hereby declare solemnly that the above information is true and correct and that I have not been convicted of any offence involving or violence or been declared unfit to possess a firearm or found guilty of contravening any Nature Conservation Legislation. Should my application succeed, I pledge myself to abide by the Constitution an Rules of the Association.

POPI ACT

Thank you for signing up with KZN Hunting Shooting and Conservation Association. As a new member, we would love to send you newsletters regarding hunting opportunities, news, sales and more. You can sign up below to confirm that you want to receive newsletters from us, and by signing, you accept the Protection of Personal Information Act’s (POPIA) terms and conditions. These can be found on our website at www.kznhunters.co.za.

We have taken careful consideration of the POPIA and we ensure that your information is safe with us and that we will not share it with anyone without your permission.

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