SA Transplant Association

WTG
World Transplant Games Federation http://www.sascoc.co.za/

SA Transplant Sport Association Application Form

Title
Surname
First Names
ID Number
Postal Address
Town
Code
Province
Email
Mobile / Cell
Home Phone
Home Fax
I Am
Work Phone
Work Email
Work Fax
I Am
Organ/s
Hospital
Date of Transplant
Swimming
Golf
Lawn Bowl
Badminton
Table Tennis
Tennis
Road Running
Volley Ball
Ten Pin Bowling
Snow Skiing
Track (Specify)
Interested in Sponsoring

NO MEMBERSHIP FEE PAYABLE Membership renewable on 31st March of every year.
DONATIONS WILL BE APPRECIATED

Payment Method:

  • Bank Deposit
  • Postal Order
  • Cheque
  • Electronic Transfer

Cheques and Postal orders should be crossed and made payable to the:
SOUTH AFRICAN TRANSPLANT SPORTS ASSOCIATION
Bank deposits and electronic transfers: Fax proof of payment
Banking Details: ABSA Name of Account: SATSA National (Cheque)
Branch: Tygervalley Code: 632005 Account number: 4067461041 Reference: Your Name

 
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SA Transplant Sport Association Application Form Click here to download a printable version of the
SA Transplant Sport Association Application Form
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