Membership form

I hereby apply for membership of the SAVA Wildlife Group*

Ordinary Membership R999
Associate Membership (see conditions) R999

Subject to approval at the SAVA Wildlife Group AGM and Requirements as stated below

*Requirements for membership

I am an veterinarian (required)
I am a member of the South African Veterinary Association
ASSOCIATE MEMBERSHIP: I am resident outside of South Africa (membership of SAVA not required)

Please note that members have to be veterinarians. Membership of the SAVA is a requirement, except for Associate membership (Non SA residents and Veterinary Nurses)

Sector (Please fill in)*

Private Practice
State
Academia
Industry
Non SA resident vets
Undergraduate Student
Other (please specify)

1. Practice- SAVA veterinarians active in private practice, national or provincial parks, and/or zoos. 2. State- SAVA veterinarians who are employed by DAFF, including CCS vets. 3. Academia- SAVA veterinarians employed at a university and/or active in the research or laboratory field. 4. Industry- SAVA veterinarians active in the distribution veterinary medicines and products. 5. World- non-SA resident veterinarians. 6. Student- SA resident undergraduate veterinarians.

Title

Name

First Last

SAVC Number

Cellphone

GPS Location of Practice or Facility

Website

Email

Registered Practice Name/Organisation/Private

Organisation or Facility Street Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Date of Application*

Membership is subject to approval. Payment of membership on annual basis, independent of the months active.

Description of Service (for listing on website) Dont fill in if you do not want your details to appear on website

Upload logo (for listing on website)

Drop files here or

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Membership application