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Join the Four Wheel Drive Club of Southern Africa

Online Application Form for the Gauteng Branch

If you would like to become a member of the Four Wheel Drive Club of Southern Africa (Gauteng Branch), please complete the from below and submit it to us. You will be contacted by the Club Secretary.

Please note: Please use your initials and surname as the reference so your payment can be correctly allocated to you. You need to E-mail or fax a proof of payment to the club office at the same time as you submit this form. Non-payment of subs will result in your application not being processed. For details of subs payable, click here. For the club's fax and E-mail details click here.

Personal Details
Your Title
Your First Name
Your Last Name
Your Identity Number
Your Date of Birth dd mm yyyy
Your Partner's First Name 
Your Partner's Date of Birth dd mm yyyy
Your First Child's Name
Your Second Child's Name
Your Third Child's Name
Your Fourth Child's Name
Your Physical Address


Your Postal Address



Post code
Your home phone number Code Number
Your work phone number Code Number
Your fax number Code Number
Your cell number Number
Your partner's cell number Number
Your E-mail address
Your partner's E-mail address
Your make and model of 4x4 vehicle
(E.g. 2009 Toyota Hilux)
Your vehicle's registration number
Your occupation
Your partner's occupation
What are Your Interests?
Please assign a value to the following activities indicating your level of interest in participation in each
1 = I am not at all interested       10 = I am extremely interested
Club property - Base 4 Conservation
Driving Instruction Newsletter articles
Finance Marshal Unit
Off-Road Competition Day Outings
Extended Outings / Tours Rescue Unit
Web Site    
Do you want to join the Dive Unit
The FWDCSA has a Diving Unit whose members seek to combine the pleasures of 4x4 driving with scuba, taking them to exotic locations. Members must be qualified divers with their own equipment. If you would like to join the Diving Unit, indicate that here.
Shirt Size
Please let us know the shirt size of the main member making the application. 
Membership Subscription
Subs and fees are as follows:
Joining fee - R500
Annual subs - R700
Total - R1200
(All prices are inclusive of VAT)

Club membership is from 1st January to 31st December. The above annual subscription (NOT joining fee) may be halved if application is received after 30th June. A member joining after 1 October will be deemed to be a paid-up member for the following year.
Payment
If you would like to pay directly into the club's bank account, use the details below. Please use your initials and surname as the reference so your payment can be correctly allocated to you and fax a copy of the deposit slip to the club at 0861-393-272.  I will deposit directly into the club account
 

Club Banking Details
Bank First National Bank
Branch Code 250112
Branch Northmead Square
Account Name Four Wheel Drive Club of SA
Account Number 58810022334


I hereby apply for membership of the Four Wheel Drive Club of Southern Africa. I understand that my membership will not be effective until the relevant fees have been paid to the Club, and I have signed the Indemnity and Waiver Form which I will fax back to 0861-393-272. I acknowledge that I have read the Code of Conduct of the Four Wheel Drive Club of Southern Africa and the Constitution of the Four Wheel Drive Club of Southern Africa and agree to be bound by their terms and conditions.

    

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