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DSA Events
Denim For Diabetes - Corporate Day
Denim For Diabetes - School Day
Pta Support Group Meetings 2012
Pta Children's Camp 2012
DURBAN GLOBAL DIABETES WALK
Durban Lifestyle Meetings
Diabetes South Africa Global Run/Walk - Pretoria
Cape Town Global Diabetes Run/Walk
DESSA 2013 Conference
Port Elizabeth May meetings 2013
DSA Contacts
Durban
0861 222 717
East London
082 327 1571
Kimberley
082 923 4620
Lenasia
011 852 5773
National Office
011 886 3765
Pietermaritzburg
033 346 0934
Port Elizabeth
082 579 9059
Pretoria
083 574 0959
Western Cape
021 425 4440
Membership Application to Diabetes Sa
Registration for statistical purposes only
Initials:
Name:
Surname:
Home Contact Number:
Work contact Number:
Cell Number:
Occupation:
I.D. Number:
Address:
City:
Province:
Eastern Cape
Free State
Gauteng
KwaZulu-Natal
Limpopo
Mpumalanga
North West
Northern cape
Western cape
Postal Code:
Age:
Email Address:
Race:
African
Coloured
Indian
White
Diabetes Type:
Type 1
Type 2
Non-Diabetic
Number of Years as a Diabetic:
Method of Control:
Diet Only
Oral Medication
Insulin
Single annual Membership:
(Includes 4 copies of Diabetes Focus)
R100
Network annual Membership:
(Includes 4 copies of Diabetes Focus)
R300
Donation Amount:
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