Membership Application

Cover Member Contact Details Persons Covered Rebate Payments Confirm
 
 
Thank you for choosing to join us.
Our application wizard will now guide you through the process of applying for a membership.
Before starting the application you will need to ensure that:
  • You have Adobe Reader installed on your computer. If you don’t have this application installed, please click here.
  • Your browser’s pop-up blocker is turned off.

The following information will be required:
  • The details of all persons to be covered
  • Your bank account/credit card details
  • The details of your previous fund (including join/cease dates)
Please ensure the details you enter are accurate.

Contact Details

First Name*
  
Surname*
  

* Either a phone number or email address must be specified

Phone
   
Email Address
   
* required fields