edenvale lifestyle centre memebership application form

Please fill in your details below in the spaces provided.

Cell Number

Deposit Details

Account Name : Eden Lifestyle Centre 

Account : 221 286 012

Branch Code : 018 505

Transaction Ref :  Name Surname 

Total Deposit : R100

Note : It is the responsibility of the member/prospective member to ensure that the annual membership amount is deposited in the bank. This form will not be accepted without a bank proof of payment.