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Child Safety Month 2008 -
August 2008. more

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Membership Form

About Us | Education | Safety | Links | Contact
Sponsors | Membership | Membership Application Form

Click here for a print friendly version.

I would like to become a 'Friend of the Foundation'. My payment for R__________ is attached (R25 or more)

I would like to become a _________________________ member of the Foundation. My payment for R________ is attached.

I would like a year's subscription to 'The Capfsa Reporter'. My payment for R30 is attached.

I would like to receive more information about the Foundation's activities

I would like to become a Project Sponsor - please contact me.

I would like to do some voluntary work for the Foundation.

Please Fill in your personal details:

Title: Dr/Mr/Mrs/Ms/Miss

  

Name:

  

Organization/Institution

(if applicable)

  

Postal Address:

  

  

  

Telephone:

Home:

  

  

Work:

  

DATE:

  

* Friends and members will also receive a copy of the quarterly 'Capsa Reporter'.

Return this information to The Child Accident Prevention Foundation of Southern Africa, P.O. Box 791, Rondebosch, 7701 or to email us.

KOVSSA/CAPFSA BANKING DETAILS

Account holder name:         KOVSSA / CAPFSA            Type of account:  Cheque 
Bank       Standard Bank      Branch: Rondebosch (025-009)
Account Number:                                270590897

 

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