Register / Renewal

If you recently discovered that you have multiples on the way, don't feel lost or overwhelmed as this is the best place to start. Please register as soon as possible so that you may enjoy the benefits of SAMBA membership in preparation of your multiples arrival. Take your time at reading through the above links, the support, resources and discounts your membership offers will change all your anxiety to excitement.

Why you should join SAMBA?

Samba has many benefits to offer its members. For approximately R25 a month you receive the following:

* Access to the new website which gives you the ability to send emails to three experts who will give advice free of charge.,We have a sleep consultant, a breastfeeding consultant and a lady to give advice on preemies.
* A discount booklet that can be used at places like Toys R Us, Baby Boom, Toyota Imperial, various photographers, children’s activities and many more.
* Discounts for SAMBA members who attend the Expectant parents seminars and Toddler seminar.
* All the information brochures that relate to multiples are now free to download on the website.
* Various photo competitions with great prizes
* Teas that are arranged at adhoc 
* Annual Christmas function
* A support network covering various areas of needs
* A magazine, Multiple Seasons which is A4 and full colour that is printed four times a year and posted. It can also be downloaded on the website and includes various back editions. 
* A samaritan program for members to donate used goods which are then passed on to less fortunate families of multiples.

The fee for 2015 is R300 for a years membership. You now have the option to have a one year, three year and five year membership. If the three year and five year membership are chosen you are excluded for the annual increase but continue to receive the same benefits. 

A three year membership taken in 2015 will cost R900  and a five year membership taken in 2015 will cost R1300.


SAMBA MEMBERSHIP / RENEWAL FORM
 

Please complete the form below to register/renew your SAMBA Membership.

1 yr = R300
3 yrs = R900
5 yrs = R1300

BANKING DETAILS:        
SAMBA National
Nedbank
Acc no 1522014624
Branch code 152205
Reference: Membership number / Surname                                          

PLEASE SEND PROOF OF PAYMENT TO: 082 602 1828 OR e-mail to secretary@samultiplebirth.co.za 

For any enquiries, please contact secretary@samultiplebirth.co.za or 082 602 1828 

       

 

 
  Membership Application:
     
  New Application
  Renewal
   
  Membership Application Term:
     
 
   
 
     
  Membership Number
  Date Joined
  Expiry Date
  Surname
     
  Marital Status:
     
 
   
  Parent 1:
     
  First Name & Surname:
  ID Number:
  Date of Birth:
  Occupation:
  Company:
  Work Number:
  Cell:
  Email:
     
  Parent 2:
     
  First Name & Surname:
  ID Number:
  Date of Birth:
  Occupation:
  Company:
  Work Number:
  Cell:
     
 
     
  Physical Address
 
  Suburb
  Province
  Code
  Email address
  Contact Number
  Home
  Fax
  Postal Address
 
 
  Code
     
  Expect:
     
  Twins
  Trips
  Quads
  Other
   
  Due Date:
 
   
  Child 1:
     
  Singleton/Twin/Trip/Quad
  Identical/Fraternal
  Names
  Gender
  Gestation (weeks)
  Natural/C-Section
  Birth Weight
  Birth Date
  Hospital
  Fertility Drugs
  Drug Type?
     
  Child 2:
     
  Singleton/Twin/Trip/Quad
  Identical/Fraternal
  Names
  Gender
  Gestation (weeks)
  Natural/C-Section
  Birth Weight
  Birth Date
  Hospital
  Fertility Drugs
  Drug Type?
     
  Child 3:
     
  Singleton/Twin/Trip/Quad
  Identical/Fraternal
  Names
  Gender
  Gestation (weeks)
  Natural/C-Section
  Birth Weight
  Birth Date
  Hospital
  Fertility Drugs
  Drug Type?
     
  Child 4:
     
  Singleton/Twin/Trip/Quad
  Identical/Fraternal
  Names
  Gender
  Gestation (weeks)
  Natural/C-Section
  Birth Weight
  Birth Date
  Hospital
  Fertility Drugs
  Drug Type?
     
  Child 5:
     
  Singleton/Twin/Trip/Quad
  Identical/Fraternal
  Names
  Gender
  Gestation (weeks)
  Natural/C-Section
  Birth Weight
  Birth Date
  Hospital
  Fertility Drugs
  Drug Type?
     
  Please complete the fields below:
     
  Do You have multiples in your family? Please specify:
  Are you willing to help on SAMBA committee? Please specify:
  If you have a special needs child or a child with disabilities, would you like to be contacted? Please specify:
  Where did you hear about SAMBA?
  Would you like multiples listed for Ad Agencies or adverts?
     
 
Security Check:   


 
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