Membership Application

Apply for Forward Connect Membership.

Fill in the form below and our membership committee will be in touch within two weeks.

Prefer pen and paper? Download the form, complete it offline, and send it back to admin@forwardconnect.co.za.

Membership Tier (Please Select)

Blue Membership - R950/mo or R9,950/yr Gold Membership - R2,750/mo or R29,500/yr

Billing Preference (Please Select)

Monthly - Minimum 3 Months Annually - Minimum 1 Year

Company Name

Company Registration Number

Website

Company Address

Company Telephone Number

Director's / Owners Name

Contact Name

Contact Position

Contact Email

Contact Phone Number

Business Type

Number Of Employees

Markets Served

Branches / Dealers / Agents (if applicable)

REASONS TO JOIN FORWARD CONNECT

DESIRED OUTCOME WITH FORWARD CONNECT

HOW DID YOU FIND FORWARD CONNECT?

Application information

I consent to the collection, processing and storage of my personal information in accordance with POPIA. I confirm that the information provided in this application is accurate and understand that Forward Connect membership is subject to approval.