Doctors For Life - Members - Non Medical Membership

MEMBERS • NON DOCTOR MEMBERS

Friends of DFL Form (non doctor membership) :
To speed up the membership process, you can become a non-medical member by filling in the form below and then submitting it at the bottom of this page:

Choose one of the following:

Name and Surname
Qualifications
Occupation
Telephone number (w)
Telephone number (h)
Telephone number (fax)
Mobile phone
Physical Address
City
Postal Address
Code
City, Country
Email

Please choose a membership category:
Suggested membership fee is R50 (50 units in your currency) annually

Organisation, Church, Company or Group

Pensioners/Retired/Missionaries/Student

Individuals, Families

Donation Amount:

I agree to send my annual membership fee of not less than R40 or 40 units in my currency

Choose my own amount of:
My currency is (R, $, £, etc):

Make Friends Membership fee donation online now (opens new window)

>> More payment options
(e.g. from cheque / savings account)

Would you like to:

Receive our DFL newsletter.

Receive a debit order.

Ways to support DFL, please select the appropriate box(es)

Prayer

Promote & sell DFL videos

Show DFL videos

Arrange meetings for DFL speakers

Care for terminal patients

Arrange Home Based Care courses

Train others in Home Based Care

Recruit members for DFL and FODFL

Arrange industrial AIDS projects

Attend Life-Chains

Become an 11th Hour Counsellor

Attend DFL Conferences

Offer Accomodation to DFL staff working in your area

Participate in radio phone in programmes

Notify others near you of such projects

Assist in fund-raising projects

How can we reach you?

By Phone

By E-mail (unfortunately some info are sent by email only)

If so, do you read your e-mail regularly?

By fax.

By ordinary mail (this is necessary for our newsletters)

Please tell us of any additional information, and if possible, how you would be able to assist us. If you want to be physically involved with our organisation but do not know how, we could contact you for further information.

By submitting my information, I agree to become a non-medical member i.e. "Friend of Doctors For Life" and therefore agree with the principles and ethics this organisation stand upon. Read our mission statement and "an introduction"

"Please also sign a printed copy of this membership form and post it to us."

Helpline + 27 (0) 82 407 3929 - AIDS/Substance Abuse
Helpline + 27 (0) 73 224 9221 - Abortion/Prostitution
Helpline + 27 (0) 72 777 5757 - Abortion (Western Cape)
Infoline + 27 (0) 82 236 7405 - AIDS/HIV

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