Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.New Membership Application Main Member SectionNew member Name and Surname *FirstLastMale or Female?MaleFemaleWill F-stop be your main club? (In CERPS) *YesNoDate of joining *This does not have to be the exact day and month, but as close as possible would be great.MEMBER FEE OPTIONS *R475.00 Ordinary Member Annual FeesR375.00 Additional Member Annual Fees - Same household (Main member details to be completed at the end)R275.00 Pensioner Member Annual FeesR175.00 Junior Member Annual Fees (Parent's section to be completed at the end)Proof of Pensioner File Upload Drag & Drop Files, Choose Files to Upload New member Cell Number *New member Home or Work Number *New member SA ID Number *New member Date of birth *New member E-mail address *EmailConfirm EmailNew member Home Address *Are you a member at another club? *YesNo Number Upload 2 Additional Member SectionMain member's Name *FirstLastMain Member Email (only for Additional Membership) *EmailConfirm EmailMain Member Cell Number (only for Additional Membership) *Additional Club Membership 1Other club's name 1Star grade in club 1Active at club 1YesNoAre you a member of another club? *YesNoAdditional Club Membership 2Other club's name 2Star grade in club 2Active at club 2YesNoPSSA (Photographic Society of South Africa)Are you a PSSA member? *YesNoIf not would you be interested in becoming a member of the PSSA? YesNoPSSA Membership NumberPlease find you membership number here https://pssa.co.za/pssa-member-login/ Please provide the Honours you hold (if applicable)Parent SectionParent Name & Surname (only for Junior Membership) FirstLastParent Email (only for Junior Membership)EmailConfirm EmailParent Cell Number (only for Junior membership)Parent SA ID Number (only for Junior Membership)Signature Clear Signature I, parent the of junior applicant, hereby give my consent for his or her membershipSubmit
