+27 11 258 8982

HFA Membership Application

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Online Application Form for Membership of the Health Funders Association


Online Application Form for Membership of the Health Funders Association

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Organization details:
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Please type your full name.
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CEO / Principal Officer details
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Scheme Membership Details:
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Declaration by head of the applicant organisation:

  1.  I declare that, to the best of my knowledge, that the information herein supplied is complete, true and correct and not misleading in any respect.
  2. I hereby confirm that I have the necessary authority to furnish this information and to make the undertakings required herein.
  3. I agree to comply with the rules and terms of membership as laid out in the Memorandum of Incorporation of the Health Funders Association.
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Postal Address: P.O. Box 1701, Gallo Manor, 2052
Physical Address: Country Club Estate Office Park,
21 Woodlands Drive, Building 2, 1st Floor, Woodmead 2191.
Tel: +27.11.258 8982
Fax: +27.11.258 8511

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Health Funders Association, © 2018