Individual Membership

You are about to subscribe for Individual Membership. Please note this is a recurring membership which will be automatically renewed by your credit card every year. If you wish to change your payment method or cancel your membership for any reason in the future, please let us know at your convenience. Thank you for joining us.

Application type *

I am applying as a new member

I am renewing an existing membership

Last Name *

First Name *

Contact Number *

Email *

Second Email Address

Organisation (optional)

Gender *

Male

Female

Terms and Conditions *

I confirm I have read and accept the terms and conditions.

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Payment Information

Payment Terms

$600.00 for membership
for 1 year from date of payment

Membership price

Regular subscription discount amount

Regular subscription tax

Payment Fee

Regular gross amount

Payment Method

Credit Card

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Holder Name*