HRA Membership Form

Kindy complete details. Payment of the Annual Membership Fee of R300 is be made into the bank details shown below.

Title*

Please type your full name.

First name*

Please input your name and surname

Surname*

Invalid Input

Spouse's Name

Invalid Input

E-mail*

Invalid email address.

Address*

Invalid Input

Suburb*

Please tell us how big is your company.

City*

Please tell us how big is your company.

Postal Code

Invalid Input

Phone number

Invalid Input

Cell phone

Invalid Input

Our Banking Details
Account Name: Hilton Resident's Association
Bank: Nedbank
Branch: Hilton Code: 151925
Account No: 1519004540

reCaptcha*

Invalid Input