South African Clinical Neuropsychological Association

Join SACNA

 

To join SACNA please fill in the membership application form below. Send it off to SACNA and include proof of payment. Ensure that your payment can be linked to yourself, or it will be treated as a donation. Please submit proof of payment to ensure that your application is processed. This may be faxed to 27+11+482-3201 or sent via e-mail. If you have queries, please contact SACNA.

Bank Details:
ABSA Bank, Auckland Park branch. Branch code: 335105. Account number: 4054841000
Account name: SACNA

Membership Application Form

Name

Title

First Name

 

Middle Name(s)

 

Last Name

 

Contact Details

Postal Address

 

 

 

 

 

 

 

Postal Code

 

Telephone

 

Fax

 

E-mail

 

Profession

Occupation

 

Job title (if applicable)

 

Qualifications (list all degrees, diplomas, University and dates)

 

Healthcare Professionals

HPCSA Registration Number

 

Discipline

 

Category
(if applicable)

 

Speciality
(if applicable)

 

SACNA Membership Category

Full

R590

Registered psychologist who has passed the SACNA credentialling process

Associate

R420

Registered Psychologist

Subscriber

R190

Professional person interested in neuropsychology

Student

R180

Proof of student registration required

Once you have correctly entered your information, click the Submit button. That will create and e-mail message that you will then need to send to SACNA.

Submit sends a message to your e-mail program

Reset clears all the fields

Fees effective from 1 January 2010 to 31 December 2010
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