Amagp Membership

AMAGP MEMBERSHIP REGISTRATION FORM

Personal Details

Surname:

Initials:

Full Name/s:

Address

House Number and Street:

Suburb:

City:

Postal Code:

E Mail Address:

Confirm E Mail Address:

Contact Number

Cell Phone Number:

Enter your cellphone number (0831234567)

Identification Number

RSA ID Number:

General Information

Government Department (where you work, or worked before retirement)

Assistance Offered

Are you prepared to offer your services on a voluntary basis to assist AMAGP with its activities? (Indicate your assistance)

Please select one option

Please select at least one option

Specify assistance if you selected "OTHER" above

Financial Aid

AMAGP urgently needs funds required for administrative and legal expenses.

You are kindly requested to make a voluntary monthly contribution of R100 or any other amount that you can afford.

Amount Offered:

AMAGP MEMBERSHIP REGISTRATION FORM

Personal Details

Address

Contact Number

Identification Number

General Information

Assistance Offered

Are you prepared to offer your services on a voluntary basis to assist AMAGP with its activities? (Indicate your assistance)

Financial Aid

AMAGP urgently needs funds required for administrative and legal expenses.

You are kindly requested to make a voluntary monthly contribution of R100 or any other amount that you can afford.

It would be appreciated if you could sign a stop order in favour of AMAGP at your bank or make payment via "EFT", but no

cash deposits, as the banks do levy a substantial deposit fee on cash deposits.

AMAGP Banking Details

Bank: First National Bank

Account Name: AMAGP

Account Number: 62743347454

Branch Code: 251345

Please use your Cellphone number as the Reference on the EFT

AMAGP WEBSITE

https://www.amagp.co.za