DENTASA Member Online Application Form

Please Select:(*)
Please Select a Registration Type

Title(*)
Please choose a Title

Initials(*)
Please Type your Initials

Surname(*)
Please type your surname

First Name(*)
Please let us know your name.

ID Number(*)
Please type your ID Number

Postal Address(*)
Please type your postal address.

 

Contact Details

Work Tel(*)
Please type your Work Telephone Number

Fax No
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Your Email(*)
Please let us know your email address.

Lab/University Name
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SADTC LA Number
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Your Lab Number will start with LA

SADTC TE Number(*)
Please type your SADTC TE Number

Your SADTC Number will start with TE

DENTASA Member Number
Please type your DENTASA Member Number

If Updating or Renewing a Membership

 

Other Details

Occupation(*)
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If you are a student please tick year of study
Please choose 1 Option

Would you like to receive E-Alerts?
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Would you like to receive SMS Notifications?
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Please note:

Different information is communicated through e-mail and sms. You will not receive the same information through e-mail and sms communication. It is your responsibility to inform the office should any changes occur in your personal details, especially your e-mail address and cell phone number.

Membership stays valid and payable until a written resignation is received.

DENTASA membership now lapses annually on 31 December.

New members pay a R100.00 once off joining fee (excluding students).

We do have a Debit Order facility for monthly deductions.

Bank Details:

Account holder name: Dental Technology Association of South Africa
Bank: ABSA Bank, Brooklyn
Account Number: 15-0018-4686
Branch code: 33-53-46

Get in touch

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  • 012-460 1155

Phone: 012-460 1155

Fax: 012- 460 9481

Fax to email: 086 233 7122

Office Hours: Mon-Fri 08:00-13:00