Membership Checkout

A Payment Gateway must be set up before any payments will be processed.

You have selected the Supporter of Good Samaritan membership level.

Thanks for joining Good Samaritan as passionate supporter. We thank you for your contribution.

The price for membership is R 20.00 now and then R 20.00 after 12 Months.

Username

Password

Confirm Password

Email Address

Confirm Email Address

Full Name LEAVE THIS BLANK

First Name

Last Name

Address 1

Address 2

City

State

Postal Code

Country

Phone

Card Number

Expiration Date /

Security Code (CVC) (what's this?)

A Payment Gateway must be set up before any payments will be processed.

Processing...

INFORMATION

About Us
Contact us
PAIA Manual
Privacy Policy & Cookies
Terms of use
POPI

Johannesburg, Gauteng, South Africa

WordPress Cookie Plugin by Real Cookie Banner