HAA Membership Form
We thank you for your interest in being a member of the Herpetological Association of Africa.

Please fill out the below form so that we can process your application or renewal. A word document version of the form is obtainable from the secretary.

Once you have submitted the form please send your proof of payment to secretary@africanherpetology.org.

BANKING DETAILS:

Account Holder: Herpetological Association of Africa NPC
Account Number: 63046571518
Bank: First National Bank
Branch: Woodlands Boulevard
Branch Code: 230732
Swift Code: FIRNZAJJ

ELECTRONIC PAYMENTS:
We can receive overseas payments via both electronic transfers and through https://transferwise.com/. Please note that all bank charges for electronic transfers to the HAA must be borne by the member.

CARD PAYMENTS:
We can now take credit card payments. To do so, please email Jens Reissig at treasurer@africanherpetology.org with information on the type of membership you are applying for and your membership number (for renewals). You will then be sent a secure payment link to transact with your card.    

For all bank payments, please quote your surname and HAA membership number as the transaction reference, and state that it is a HAA payment.

Contact us at secretary@africanherpetology.org
HAA website: http://africanherpetology.org/

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Email *
Membership number
For renewals only. New members will receive a membership number after payment confirmation.
Membership Type *
Would you be interested in sponsoring another member to gain a one- or three-year membership for the HAA?
If you would like to sponsor another member, do you have a specific member in mind? Or would you like to sponsor multiple members?
Title
First Name *
Surname *
Institution and Department
Postal Address *
Postal Code *
Country *
Cell Phone Number
Occupation
Herpetological Interests
Please confirm that you have read and agreed to the associations code of conduct and constitution, which can be downloaded using the following links: 1) https://africanherpetology.org/wp/wp-content/uploads/2020/06/HAA-code-of-conduct-revised-2020-version.pdf    2) https://africanherpetology.org/wp/wp-content/uploads/2020/06/HAA_CONSTITUTION-2019.pdf *
Required
By entering your name below you are providing your electronic signature, indicating that all information provided in the form is correct, that you agree to send a proof of payment to the secretary and that you have read and agreed to the associations code of conduct and constitution. Please note that members outside of South Africa will be required to provide a hard copy signature of this form, this will be sent by the secretary upon receipt of your application. *
A copy of your responses will be emailed to the address you provided.
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