Membership Form

Name*

First Last

Phone*

(Note: .)

Email*

(Note: The email address you supply here will be used for all DFA correspondence.)

Company*

(Note: If you are applying as an affiliate member, this field will be used in the membership list of affiliates.)

Website

(Note: Enter your website url.)

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

(Note: Address supplied should be a postal address.)

Your photo

(Note: Upload a photo of yourself for the DFA Members Directory. Images should be .jpg or .png format and not more than 400kb)

Work Profile & Industry Achievements:

(Note: List any information regarding your work that you would like to appear in the Member Directory)

Additional information

Anything else you'd like us to know

Race and gender

While this is voluntary, we kindly request you complete the following two questions as they give us a good overview of transformation and balance in our industry sector. DFA is committed to transformation of our sector, and regularly report on the combined statistics of our membership to various government departments and SASFED. This will never be used with you or your records personally, and we hope you understand the reasons for requesting this information.

Race

Gender

DFA membership options*

Full member
Affiliate member
Student member

Student number*

Please enter a current and valid student number.

Institution*

Please enter the name of the institution where you are currently registered.

Annual fee

R0.00

Race and gender

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