SA Heart® Online Membership Application Process:
  • After completing this account registration page you will receive a user account. Your username and password will be sent to the email address supplied by you during registration.
  • To activate your user account please click on the activation link contained in the account activation email which will be sent to the email address supplied by you during registration.
  • Once you have activated your account by clicking on the account activation link contained in the email, please login to the SA Heart® system to submit the information required to process your membership application.
  • Once you have completed all the required information for membership application, please submit the completed form to SA Heart® online by clicking the "proceed" button.
  • You will be notified via email once your application has been processed.

Please note: If you do not receive an email from us within 5 to 10 minutes, it may have been placed in your spam or junk folder. Since we are sending an automated email, your ISP/email provider may flag the email as spam.

 

Registration Form for New Members


Title:
First Names:
Last Name:
Postal Address:
Town:
Postal Code:
Tel (daytime landline) :
Code
Fax:
Code
E- mail:
Mobile:
Code
I practice as a:
I am registered with:
HPCSA number:
I am connected to the following hospital/s :
Are you a registered medical specialist?
I am applying for:
   
Proposed by :
(The constitution stipulates that new members be proposed by two paid up full members of SA Heart®)
   
Interests
   
I am also applying for membership of the following REGIONAL BRANCH (voluntary branch affiliation)
   
I want to become a member of the following Special Interest Group(s) of SA Heart® (SIG)(please mark according to interest, if any)
LASSA - R 200 (Lipid & Atherosclerosis)
SASCI - R 520 full members/ R 160 associate/ISCAP members (Interventional)
   
   

Please note the following:

  1. The above amounts are VAT exclusive and 14% VAT will be added to all membership fees.
  2. In order to belong to a regional branch or SIG, you have to belong to the SA Heart® Association.
   
Password:
Confirm Password:
  Register