128 Vleiroos Street, Winchester Hills
maraabasotho@gmail.com
Follow us:
Home
About
Our Mission
Gallery
Documents
Contact
Join Us Now
Membership Form
Home
Membership Form
Our Membership
MEMBERSHIP APPLICATION FORM
Your Name
Surname
Your Email
Male
Female
Other
Gender
Date of Birth
ID No
Cellphone No
Street Address
City, Town, Province
Employed
Yes
No
Student
Yes
No
Preferred Language
English
Sesotho
Choose your Sesotho proficiency
Read
Write
Speak
Fluent
Poor
None
Sesotho Proficiency
Relatives in South Africa
Yes
No
Relatives in Lesotho
Yes
No
Clan name (Seboko)
Been a Member Since
Select Membership Type
Basic - L50
Standard - L100
Membership Type
Member Photo
Payment Option
Pay Now
Pay Later
Payment Details
Card Number
Expiry Date (MM/YY)
CVC
Submit Application