SA Transplant Sport Association Membership Application

PERSONAL DETAILS:





 






WORK DETAILS:
 
 Employed Full Time
 Employed Part Time
 Unemployed
 Student
 Retired
 Homemaker

CATEGORY MEMBERSHIP:
 
 Transplantee
 Spouse
 Donor
 Donor Family
 Friend
 Corporate
 Family
 Medical Professional
 Other

TRANSPLANTATION HISTORY:
 

PARTICIPATION IN SOCIETY ACTIVITIES:(only organ recipients)
 
 Swimming
 Golf
 Lawn Bowls
 Badminton
 Table Tennis
 Tennis
 Cycling
 Squash
 Road Running
 Volley Ball
 Ten Pin Bowling

Click here to download a printable version of the
SA Transplant Sport Association Application Form


NO MEMBERSHIP FEE PAYABLE
Membership Renewable on 31st March Annually.

DONATIONS WILL BE APPRECIATED
Contact us here…

SOUTH AFRICAN TRANSPLANT SPORTS ASSOCIATION

ABSA: SATSA National (Cheque)
Branch: 632005
Account No.: 4067461041
Reference: Your Name