CPD activities for 2019 ID Number* Email* Select a membership option* Once-off for 2019 From 2019 continuous until I cancel My profession is*Select your professionDABAASDRDR/KTPS/PRC/PMTPT/BK/OTOHDP/TTMPANA/ANT/ AEA/ECTRadiologist Email Post Courier Online 2019 package includes DA R585,00 R640,00 R710,00 R285 for 12 clinical and 3 ethics CEU's Email Post Courier Online 2019 package includes BAA R450,00 R460,00 R530,00 R285 for 12 clinical and 3 ethics CEU's Email Post Courier Online 2019 package includes SDR R585,00 R640,00 R710,00 R285 for 12 clinical and 3 ethics CEU's Email Post Courier Online 2019 package includes DR/KT R813,00 R904,00 R974,00 R589 for 24 clinical and 6 ethics CEU's Email Post Courier Online 2019 package includes PS/PRC/PMT R1550,00 R1570,00 R1640,00 R589 for 24 clinical and 6 ethics CEU's Email Post Courier Online 2019 package includes PT/BK/OT R1312,00 R1460,00 R1530,00 R589 for 24 clinical and 6 ethics CEU's Email Post Courier Online 2019 package includes OH R1155,00 R1280,00 R1350,00 R589 for 24 clinical and 6 ethics CEU's Email Post Courier Online 2019 package includes DP/TT R1700,00 R1990,00 R2060,00 R589 for 24 clinical and 6 ethics CEU's Email Post Courier Online 2019 package includes MP R1680,00 R1880,00 R1950,00 R589 for 24 clinical and 6 ethics CEU's Email Post Courier Online 2019 package includes ANA/ANT/AEA/ECT R785,00 R815,00 R885,00 R589 for 24 clinical and 6 ethics CEU's Email Post Courier Online 2019 package includes Radiologist R1680,00 R1880,00 R1950,00 R589 for 24 clinical and 6 ethics CEU's Delivery option* E-mail POST to Postal address POST to Physical address Courier Online Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Payment method* EFT Debit Order Credit Card Payment terms* once-off monthly Banking Details Bank Name: ABSA Account Type: Cheque Account Nr: 405 843 7431 Branch Code: 632 005 Ref No: HPCSA noDebit Order Details Membership runs from January to December of each year. Therefore the debit order amount will depend on the month in which you join. A membership fee of R94.05 will be added to the first month’s instalment. If applicable, the courier cost of R45.00 will also be deducted with the first month’s instalment. Thereafter only the instalments as set out below will be deducted until December 2019.When did you open your account at your Current Bank?* Bank Name* Type of Account* Account Number* Branch Code* Branch Name* Account Holders Name* Preferred Debit Order Date* 1 15 25 30 Abbreviated name as it will appear on your bank statement* Confirm you agree to the terms and conditions below* Focus on Health membership represents an annual subscription. Membership fees will be due and payable once Focus on Health has emailed, couriered, posted or personally delivered accredited activities to the member. When an activity is posted, a “test” envelope is included in each batch to check delivery. For the members’ convenience, membership is renewed on the last day of the applicable calendar year. Following which Focus on Health will provide the member with his/her CPD activity for that year. All membership cancellations should be submitted twenty (20) business days on or before the renewal date on 1 January of each year. Focus on Health will supply the member with his/her CPD activity via the selected delivery option and details provided above. It is the members’ responsibility to inform Focus on Health of any changes. Please contact us within 2weeks after submitting this application, if you did not receive your CPD activity. Please contact us if you did not receive your membership number via SMS within 24-36 hours.All correspondence and receipt of payments sent to Focus on Health will be confirmed via SMS to the member. Please note that when you use a promotional code to become a member, other discounts may not apply. CAPTCHAPhone Δ
