Registration Form

Please complete the registration form below for the PUBLIC package @ R500 p/m.

Member Details

Valid first name is required.
Valid last name is required.
Valid email address is required.
Valid cell number is required.
Password did not match
Valid ID number is required.
Valid cell number is required.
Please enter your physical address.
Please enter your city.

Deduct the money from my card on what day of the month?