Welcome to

houtbay.org.za

published by the

Hout Bay Residents and Ratepayers Association (HBRRA)

Membership Application Form

 

Home

Supplement to Hout & About

Fires in Imizamo Yethu

About Hout Bay

HBRRA Vision and Mission

Rates

Signage

HBRRA Newsletters

HBRRA ExCo Portfolios

HBRRA Membership Form

HBRRA Contact Details

Submit a message online

Hout Bay Information and Links

   

HOUT BAY RESIDENTS & RATEPAYERS ASSOCIATION

(previously HOUT BAY RESIDENTS’ ASSOCIATION)

*****The ENVIRONMENT is our priority*****

Please print out and fill in the membership form below.  Post or email to the contact details below or place in the HBRRA 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                                   Chairman: LenSwimmer (021 790 0268)

Email: hbrra@houtbay.org.za                                                                                                    

MEMBERSHIP APPLICATION FORM

I/We would like to take out membership of the Hout Bay Residents & Ratepayers Association and understand that the subscription fee is R60 per person per year and R100 per couple. Corporate Membership R1000

 

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:    Hout Bay Residents Association

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.