Join Arise

Start your membership journey.

Choose the household option that best suits your needs, then complete the application below. The dependant fields will automatically adjust to the membership option you choose.

Your Health. Your Family. Your Legacy.

Choose your membership

The main member counts as one person. Family options therefore provide up to 3, 5 or 7 dependant spaces respectively.

Main Member Details

SELECTED MEMBERSHIP *

MONTHLY CONTRIBUTION

FIRST NAME *

SURNAME *

SOUTH AFRICAN ID / PASSPORT NUMBER *

DATE OF BIRTH *

MOBILE / WHATSAPP NUMBER *

EMAIL ADDRESS *

TOWN / CITY *

PROVINCE *

RESIDENTIAL ADDRESS *

Dependants

Choose a membership option above.

Your dependant fields will appear here after you choose a membership option.

Membership Preferences

PREFERRED CONTRIBUTION DATE

HOW DID YOU HEAR ABOUT ARISE?

ADDITIONAL NOTES

General qualifying benefits are subject to a 6-month waiting period. The Education Legacy Benefit and Burial Cash Benefit are subject to a 12-month waiting period. Benefits remain subject to the Collective's rules, eligibility requirements and applicable benefit schedules.

Your information will be submitted securely to the Arise team. Please do not include banking or card details in this form.

Strong Healthy Empowered (SHE) Arises Foundation