Become a Member

Undergraduate Students Free
Annual membership R300.00

Whats in the Membership Package?

* Indicates required field

Name & Surname *

First

Last

Choose Profession or undergraduate course *

HPCSA No. (can say none if not a therapist) *

Cell Number & Email separate with comma *

Work Details: L1: Your Position, L2: Facility Name, State eg EC for Eastern Cape *

Line 1

Line 2

City

State

Zip Code

Country

Banking Details

Pay for membership:R300.00
Rural Rehab South Africa
FNB Business Account 62468126414
Branch Code: 201509
Reference: Your Surname
Send Proof of Payment to US: ruralrehabsa@gmail.com