Membership Application Form

CONFIDENTIALITY All information presented in this document is strictly private and confidential and will be for the sole use of the South African Multiple Sclerosis Society

Membership Form
9 + 0 =

 

The annual membership fee is R100.00 (April – March)

Banking Details

MSSA Inland Branch
Bank:  Standard Bank, Melville
Branch Code:  006-105
Type:  Cheque Account
Account Number:  401 024 342