Membership Application

Full name

ID number

Email address

Contact number

Residential address

I am interested in becoming a:

Motivation for membership

Membership declaration

As an abstainer of alcohol beverages and drugs, I accept Membership into Alcohol & Drug Concerns Cape and agree that the standards are limited to persons of good moral character and reputation. I will abide by the Constitution of the Organisation and understand that failure of which will result in Membership being rescinded. I further understand that Membership is not valid until approved by the Organisation’s Board.