Membership Checkout

Membership Information

You have selected the Corporate membership level.

The price for membership is R 50,000.00 now and then R 500,000.00 per Year.

Account Information

Username

Password

Confirm Password

Email Address

Confirm Email Address

Full Name LEAVE THIS BLANK

Already have an account? Log in here

Compliance and Ethics

Agree to comply with the Code of Conduct / Ethics

Business Information

Name of Business

Business Owner / Representative

Business Street Address

Postal Address

Contact Number

Registration Type

Business Type

Industry

Pay by EFT

To finalise your membership application, pay directly into the WILATZA Bank account and send proof of payment to info@wilatza.org.za:
Bank: FNB
Acc Name: WILATZA
Acc Number: 63111189410
Ref: Order Number

Processing...