Membership - South African Burn Society

MEMBERSHIP RENEWAL/APPLICATION

To renew or apply for membership of the South African Burn Society you can download the application form and follow the easy steps.

Membership Renewal/Application

Name *

Surname *

Phone Number *

Email Address *

Institution *

I want to: *

Renew membership

Apply for membership

Select applicable option *

Membership fee:
Medical practitioner - R500 p.a.
Allied health care practitioner - R100 p.a.

Payment can be made to:
SA BURN SOCIETY
Bank: FNB
Account Type: Business Cheque Account
Account Number: 62434454708

Upload proof of payment *

Maximum file size: 516MB

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