SAMASA AA Membership RFI Form<br />

SAMASA AA Membership RFI Form

Privacy Notice

The SAMASA Alumni Association Board respects your privacy and will therefore protect your private data shared with us. We collect, store and use your personal data for communication and outreach purposes only.
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Name
What is your preferred form of communication?
Would you like to participate in the Medical Access Program (MAP)?
MAP gives access to members of the AA and their families to discounted prescriptions and over the counter medicines. If "Yes" is selected, your contact information will be shared with the MAP team.
Would you like to volunteer in any of the SAMASA committees/working groups?
Which of the following would you like to join? Your contact information will be shared with the committee/working group selected.
SAMASA AAI has various projects and initiatives that can use your financial support. Would you like to donate to the SAMASA fund?
Would you prefer to receive an invoice for your donation? If yes is selected, you will receive an invoice and other payment option from our Treasurer.