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Membership application form

All fields marked with * are compulsory.
  • Personal information*
  • Property*
  • Are you the Owner / Tenant
  • Contact information*
  • I the undersigned, hereby give notice to the Apies River Rural Fire Protection Association (ARFPA) to be enrolled as member and undertake to subject myself to the ARFPA Constitution, regulations and Law on Veld and Forrest fires act 101 of 1998. I undertake to serve under the authority of the Fire Department and (ARFPA) management in best of my ability, if the need for it arises.
  • DD slash MM slash YYYY
  • This field is for validation purposes and should be left unchanged.