NATIONAL HEAD OFFICE: 
P.O. Box 6775 Roggebaai 8012 
709 Tulbagh Centre 
Cape Town 8001 
Tel: (021) 425-2344 
Fax: (021) 421-7330 
E-mail: arthcpt@mweb.co.za 
Helpline: 0861-30-30-30 

Johannesburg Office: 
P.O. Box 87360 
Houghton 2041 
Room 4M05 
Medical School 
Parktown 2193 
Tel: (Oil) 717-2346 
Fax:(011)717-2551 
E-mail: afjhb@ichimn.wits.ac.zsi 

Pretoria Office: 
P.O. Box 73242 
Lynwood Ridge 0040 
Tel: (012) 343-0428 
Fax: (012) 343-0742 

Registered Nonprofit Organisation. Registration Number 002 847 
NPO Geregistreerde Nie-winsgewende Organisasie. Regestrasie Nommer 002 847 
NPO MEMBERSHIP APPLICATION FORM

Annual Full Membership R50.00 Jaarlikse Voile Lidmaatskap Jaarlikse Weldoener Lidmaatskap Jaarlikse Korporaat Lidmaatskap Lewensbeskermheer 
Annual Benefactor Membership R100,00 
Annual Corporate Membership R1000,00 
Life Patron R5000.00 
Donation R................. Donasie

Annual Associate Membership R10,00 
Jaarlikse Verenigde Ltdmaatskap 
This membership category is designed for interested people or sufferers who cannot afford the cost of full membership. 

All cheque and postal orders payable to ARTHRITIS FOUNDATION. For payment by credit card, see below. 

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