Rhino Club Applications

Our webpage on www.kznwildlife.com is faulty at present so please use rhinoclub@kznwildlife.com to apply for new or renewed  membership.

PAYMENT DETAILS FOR YOUR CONVENIENCE:

Rhino Club membership

Name:—————–Surname:—————————

ID number 1:—————————————

ID number 2:—————————————-

Rhino Club No:————————————–

PostalAddress.:—————————————————–-

Postal Code:————————Province: ———————————

E-mail address:——————————————————————–

Tel: (h/w):——————————————-

(Cell):—————————————————-

Fax:———————————————————

PAYMENTS:

Credit Card number:————————————————————

Cvv no.——————Expiry:———————————-

Signature:————————————-

Date:—————————.Amount—————————-

EFT or TDA (Bank transfer) – Account holder : Ezemvelo KZN Wildlife , First National Bank

Account No: 62031285506

Branch Name: Liberty Midlands Mall, Pietermaritzburg

Branch code: 257355

Fax your form to 0338451015 or email rhinoclub@kznwildlife.com or Post to: Rhino Club, Free Post KZN 521 Cascades,3202  or Tel: 0338451011/13 or 0338451008/09

KIDS CLUB – USE SAME BANKING DETAILS – If you dont have an ID number, give Birthday

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