RAHB Membership Form

RESIDENTS’ ASSOCIATION OF HOUT BAY

Please print out and fill in the membership form below. Post, fax or email to the contact details below or place in the RAHB box in the Hout Bay Library. Electronic payments can be made to the bank details below or cheques made out to the Residents’ Association of Hout Bay.

PO Box 27031 Hout Bay 7872

Email: rahb@houtbay.org.za Fax: 088 021 790 5427

MEMBERSHIP APPLICATION FORM

I/We would like to take out membership of the Hout Bay Residents’ Association and understand that the subscription fee is R30 per person per year and R50 per couple.

Please find payment of R ………. enclosed and note the following details in your records:

SURNAME …………………...…….…………… FIRST NAME/S …………....……..…………….…. TITLE …………

POSTAL ADDRESS …………………………….…………………………………………………………………………….

RESIDENTIAL ADDRESS [if different] ……………………….…………………...……………………………………......

PHONE (h) ……………………… FAX ………………..……… CELL PHONE ……………….…………..………….

EMAIL ADDRESS ……………………………….…………….…………………………………………………………….

SPECIAL CONCERNS ………………………………………………………………………………………………………

…………………………………………………………………………………………………………….

I AM ABLE TO OFFER ADVICE OR ASSISTANCE TO THE EXECUTIVE COMMITTEE . DETAILS OF MY AVAILABILITY AND AREA/S OF EXPERTISE OR INTEREST: ……….……………………………………….

…………………………………………………………………………………………………………….

…………..………………………………………………………………………………………………………………………

Signed:

RECEIPTS WILL BE ISSUED FOR CASH PAYMENTS ONLY OR BY REQUEST

Electronic payments can be made to the following account:

Account name: Residents Association of Hout Bay

Bank: First National Bank

Branch: Hout Bay (Branch code: 204 009)

Account No: 5345 1027 173

Please use your FULL Name as a reference on the payment – to ensure that we correctly credit your membership payment – this information will appear on our Bank Statement.

houtbay.org.za

Membership Application Form

RECEIPTS WILL BE ISSUED FOR CASH PAYMENTS ONLY OR BY REQUEST