Membership Registration Form

All members should be registered

SECTION A: PERSONAL DETAILS

Full Name *

First

Date Of Birth

Phone/WhatsApp

Email Address *

Address

City

State/Province

Zip/Postal

Country

SECTION B: NEXT OF KIN

First Name

Last Name

Phone

Relationship

SECTION C: BENEFICIARIES (Upto 5 Members)

Name

First Name

Last Name

Date Of Birth

Relationship

Phone

Name

First Name

Last Name

Date Of Birth

Relationship

Phone

Name

First Name

Last Name

Date Of Birth

Relationship

Phone

Name

First Name

Last Name

Date Of Birth

Relationship

Phone

Name

First Name

Last Name

Date Of Birth

Relationship

Phone

SECTION D: MEMBERSHIP TERMS AND CONDITIONS

Membership: Upon approval, you will be issued a unique GWT number to access corporate discount rates from our partners (e.g., Goshen Dental, Sunstream Solutions, solar, wifi, safaries, events)
Payment: members may pay cash or in installments within one month (4 weeks) from service date. Partner keeps records. Non-payment after one month is referred to GWT leadership
Financial hardship: If struggling to pay within 4 weeks, you MUST write to welfare@gwtogether.org before due date for support arrangement.
Responsibilities: provide true information, verify membership when accessing services, support timely payments, and uphold GWT values of community and transparency.
Data and Privacy: Your data will be kept confidential and used only for GWT services, partner verification, and community support.
Duration: Membership is annual and renewable. GWT may suspend membership for false information or non-compliance with payment terms

DECLARATION:

Name

First Name

Last Name

Date

Type intials for signature:

GWT Official Name

First Name

Last Name

If you are human, leave this field blank.