TSSA Membership Form

Thank you for your support for the Tibetan Cause.
Please print and fax to (031) 266 6928

First Name:

Surname:

Postal Address:

Code:

Tel:

( )

Cell:

( )

Email:

( )

Do you wish to receive the Tibetan Bulletin as part of your membership?*

The Tibetan Bulletin is published by the Tibetan Government in Exile and if you have indicated that you wish to receive a copy it will be sent to you bi-monthly from India.

Please tick applicable:

Yearly Fee:

R36.00

Scholar/Student/ Pensioner:

R60.00

Single Membership:

R72.00

Family Membership:

Donation:

5-Year Membership Option:

R250.00

Single:
(i.e. R50.00 per annum)

R310.00

Family:
(i.e. R62.00 p.a.)

R155.00

Scholar/Student/Pensioner:
(i.e. R31.00 p.a.)

Enclosed:

All Payments to:
Tibet Society of South Africa
PO Box 2674, Pinetown 3600 South Africa
Fax (031) 266 6928
Tel: (031) 266 8182 (w)

Direct Banking:
Nedbank, Musgrave Rd,
A/C No. 1301218588
Kindly fax us the membership form & deposit slip if you pay by direct banking.
Thank you.

TSSA Membership Form

Thank you for your support for the Tibetan Cause. Please print and fax to (031) 266 6928

Thank you for your support for the Tibetan Cause.
Please print and fax to (031) 266 6928