Membership Contract

Shapes Membership Agreement

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MEMBERSHIP AGREEMENT

Amanzimtoti Branch | Victory Centre - Unit 1 Warner Beach | 121 Kingsway Road | Tel: 031 916 2719 | shapestoti@gmail.com

Personal Details

Name(Required)
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Contact Details

Physical Address(Required)

In Case of Emergency

Doctors Name
Contact Person(Required)

Contract Details

Joining fee of R600 comes standard with all contract types. Please select your contract start date and contract end date.
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Debit Order Details

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I accept that my account will be debited at the selected debit order date.
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Assumption of Risk Undertaking

Final Signatures

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Member
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Signature
Legal Guardian (If applicable)
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Address

121 Kingsway, Warner Beach (Upstairs Victory KwikSpar)

Contact Info

Tel: 082 459 6535
Whatsapp: 082 459 6535
E-mail: shapestoti@gmail.com

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