Roodekrans Neighbourhood Watch
Business Membership Form
N.B. Only one form is required per business address
For a crime free neighbourhood don't respond to crime, prevent it
Street Name Street No.
Shopping Centre Route
Business Name Trading Name
Business Hours Weekdays Weekends & Public Holidays
Business Telephone No. Emergency Telephone No
Business Email Add Business Website
Proprietor / Member / Director / Executive Officer
Owners Name Surname
Birth Date ID No.
Manager / Alternate Contact Details
Managers Name Surname
Birth Date ID No.
If you or your staff would like to participate in any of the following, please tick the appropriate box:
Shopping Centre Representatives Use of Facilities
Marketing Foot Patrols
Recruiting Car Patrols
Security Company, if any
ADT Chubb Thompsons Lexus Dowry
Membership Categories & Fees
Payable by Internet Payments, Electronic Transfers, Cheque, Cash or Bank Deposit
Entrance Fee Monthly Fee or
Full Membership R 100 R 60
Full Membership (Existing Home Member) R0 R 30
Shopping Centre Membership R 100 R 30
Shopping Centre (Existing Home Member) R0 R0
Associates/Partners/ Sponsors R0 R0
Entrepreneurial R 100 R 60
Entrepreneurial (Existing Home Member) R0 R0
Honorary R0 R0
Bank: First National Bank Branch: Johannesburg Account Type: Cheque Account
Account Number: 6213 0799 549 Branch Code: 251305
Note: Please fax or email proof of payment to Cor Boer. The fax number is 011 475 7215 and email address
The "Business Name" should be used as the payment reference.
Information, Indemnity, Signage and Signature
All information will be treated with confidentiality, and will be used by the Roodekrans Neighbourhood Watch only.
You are not obliged to provide any information that you do not want to.
The member hereby waives any action it may hold against the Neighbourhood Watch howsoever arising
from participation in Neighbourhood Watch activities.
On payment of your entrance fee, you will be supplied with a signboard reflecting your membership of the
Neighbourhood Watch. The sign remains the property of the Neighbourhood Watch and upon termination of your
membership for any cause whatsoever, you herewith authorise the Neighbourhood Watch or any duly authorised
representative to remove the sign from your premises.
By signing this document you acknowledge that you have read and understood the contents hereof.
Submission of Completed Application
The completed membership form will be collected by Wendy Whitehorn. Contact number: 082 900 4540.
Brief Description of Membership Categories
Full Membership Business falls within the geographical area of the RNW and
will benefit from the patrols and other Business Watch activities
Full Membership (Existing Home Member) As above with rate benefits.
Shopping Centre Membership 100% of tenants of shopping centre become members.
Benefits the same as full members but include reduced rates
Shopping Centre (Existing Home Member) As above with rate benefits.
Associates/Partners/ Sponsors Local or outside business providing discounted rates to
the Roodekrans Neighbourhood Watch and its members
and thereby enhance the work of the Neighbourhood Watch
Entrepreneurial Businesses run from residential premises in RNW
geographical area. Benefits the same as for full membership.
Entrepreneurial (Existing Home Member) As above with rate benefits.
Honorary A local or outside business with clients in our area that
provides FREE services or significant sponsorships,
i.e. in excess of R1000 pa, to the RNW or its members
For more information please contact Wendy Whitehorn: Tel: 082 900 4540
Web: www.roodekranswatch.org Email firstname.lastname@example.org
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