Membership Application Form – Monthly Payments 12 recurring/monthly payments. Does not automatically renew. Partnership OptionsPartner Options(Required)Please selectPlatinum Partner (R2750 p/m)Gold Partner (R1750 p/m)Silver Partner (R950 p/m)Bronze Partner (R500 p/m)Business Listing (R200 p/m)Select Homepage advertising (optional)SelectRank 1 (top) (R1500 p/m)Rank 2 (R1250 p/m)Rank 3 (R750 p/m)Rank 4 (R500 p/m)Total Monthly Subscription Recurring subscription of 12 installmentsPersonal InformationName First Last Phone(Required)Email(Required) Company InformationBusiness / Organisation Name(Required) Registered Trading as… (how it should appear on our website) Your designationCompany Registration NumberVAT Reg. No.Address(Required) Street Address Address Line 2 Town/City Province Postal Code Website Listing InformationWebsite DescriptionBusiness Category Things to do / Entertainment Restaurant / Coffee shop Accommodation Service Providers Equipment Providers Nutrition Recovery Club / Group Other Contact person for visitor enquiries First Last Contact NumberFeature image / logo Drop files here or Select files Max. file size: 2 MB. Accepted file types: jpg, jpeg, png, pdf, webp, Max. file size: 1 MB, Max. files: 2. Feature image for your business listing or upload your logoConsent(Required) I agree to the Privacy Policy.Consent(Required) I agree to the Member Code of Conduct.(Required)
