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