Member Registration -

Garden Route First Member Registration

Name

First

Last

ID Number

Required for IEC Verification

Date of Birth

Residential Address Line 1

Residential Address Line 2

Residential Address Line 3

Municipality

Ward

2 (GR Agreement

Mobile Number

I hereby apply to become a member of Garden Route First (GR FIRST) and declare that:

Agreement 2

I commit to acting with integrity, accountability, and respect for all members. all members.

Agreement 3

Agreement 4

Agreement 5

I understand that membership may be terminated for misconduct or breach of values.

Date of Agreement