Membership Form

We are thrilled that you are interested in becoming a NNASA member! We look forward to welcoming you at one of our upcoming events.

ANNUAL MEMBERSHIP FEE: R350.00 (applicable for 12 months from receipt of payment)

How do you benefit:

Membership of the NNASA
Membership badge
Membership of the Council of International Neonatal Nurses (COINN)
Discounts applicable for conferences and workshops
Networking through Regional branches and NNASA WhatsApp groups
NNASA website for online resources, position statements and blog post

Please complete the form below to become a member of NNASA. Please contact us at info@nnasa.org.za if you have any questions or experience any problems.

Personal Details

Prefix

First Name

Last Name

ID Number/Date of Birth *

Your email *

Contact Number *

Statutory Body and Registration Number

Postal Address *

Statistical Information

For statistical purposes only please advise on the below

Organisation/Department/Municipality/Hospital

Select

SectorPrivatePublic

GenderMaleFemaleOther

Race

Neonatal Experience

What Neonatal training do you have?

Have you participated in Neonatal Research? If yes, which?

Position/Designation

If other, please specify:

Would you like to start a Branch in your area?

Please indicate if you would NOT like to be included in either of the communication platforms

Payment Details

Once your registration form has been processed, an invoice with bank details will be forwarded to you for payment. Please note that payment is only to be made on receipt of invoice.

Once your initial payment has been processed you will receive:

A welcome letter
A membership certificate
A membership badge
Our Vision, Mission and Core values
Receipt of payment

Please kindly indicate your intended method of paymentBANK DEPOSITELECTRONIC TRANSFERCASH

Please ensure all transfers make clear reference to the member being paid for, i.e., Joe Soap (Name and Surname).
Once payment has been made, the proof of payment is to be e-mailed to treasurer@nnasa.org.za.

Terms & Conditions:

The membership fees will be applicable for the period of 12 months from date of payment received.
No membership will be confirmed without payment.
Confirmation of payment received will be provided in the form of an official receipt. Without a proof of payment, you will not be receipted, and your membership cannot be processed.

Value Added Tax:
In accordance with the South African Revenue Services (SARS), 15% has been included in your membership fee. The percentage is subject to change based on SARS.

Privacy Statement:

We collect information that you voluntarily provide, for us to process memberships and other transactions that you may request, provide a customer service, and obtain statistical data.
We use your information to inform you of updates and send you relevant information regarding the concerned event.
We do not sell, rent, or lease our delegate lists to third parties.
To help provide our services, we occasionally provide information to other companies that work on our behalf. The Neonatal Nurses Association of Southern Africa (NNASA) and any company used by NNASA shall take all reasonable steps to protect the personal information of users. For this clause, "personal information" shall be defined as detailed in the Promotion of Access to Information Act 2 of 2000 (PAIA). The PAIA may be downloaded from: http://www.polity.org.za/html/govdocs/legislation/2000/act2.pdf

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Membership Form