Join – Fichardt Park Neighbourhood Association

Personal Details

Name *

First

Last

Email *

Phone *

ID number *

Occupation *

Which security company do you belong to *

Members qualify for discounts from selected security companies

Address *

Address Line 1

City

State / Province / Region

Payment Details

Membership *

Are you an owner or a tenant?

Owner
Tenant

Payment method *

Total membership fee per month

R 0.00

How did you learn about the FNA? *

Who referred you? *

Please specify *

I undertake to pay my fees as determined at the annual general meeting. If no payment is received for 2 consecutive months (60 days in arrears), we will be required to cancel your FNA membership. I remain responsible for any outstanding fees. *

Agree

Date / Time

Date

Time

All parties agree that they will comply with POPI regulations and process all the information and/or personal data in respect of the services being rendered in accordance with the said regulation and only for the purpose of providing the Services set out in the agreement to provide services.