{"id":611,"date":"2020-12-29T13:45:45","date_gmt":"2020-12-29T13:45:45","guid":{"rendered":"https:\/\/www.blackforumsa.co.za\/?page_id=611"},"modified":"2026-02-21T08:09:05","modified_gmt":"2026-02-21T08:09:05","slug":"forms","status":"publish","type":"page","link":"https:\/\/www.blackforumsa.co.za\/index.php\/forms\/","title":{"rendered":"Forms"},"content":{"rendered":"[vc_row type=&#8221;full_width_background&#8221; full_screen_row_position=&#8221;middle&#8221; column_margin=&#8221;default&#8221; bg_color=&#8221;#ffffff&#8221; scene_position=&#8221;center&#8221; text_color=&#8221;dark&#8221; text_align=&#8221;left&#8221; top_padding=&#8221;0&#8243; bottom_padding=&#8221;0&#8243; id=&#8221;category-grids&#8221; overlay_strength=&#8221;0.3&#8243; shape_divider_position=&#8221;bottom&#8221; bg_image_animation=&#8221;none&#8221; shape_type=&#8221;&#8221;][vc_column column_padding=&#8221;no-extra-padding&#8221; column_padding_position=&#8221;all&#8221; background_color_opacity=&#8221;1&#8243; background_hover_color_opacity=&#8221;1&#8243; column_link_target=&#8221;_self&#8221; column_shadow=&#8221;none&#8221; column_border_radius=&#8221;none&#8221; width=&#8221;1\/1&#8243; tablet_width_inherit=&#8221;default&#8221; tablet_text_alignment=&#8221;default&#8221; phone_text_alignment=&#8221;default&#8221; overlay_strength=&#8221;0.3&#8243; column_border_width=&#8221;none&#8221; column_border_style=&#8221;solid&#8221; bg_image_animation=&#8221;none&#8221;][tabbed_section style=&#8221;minimal&#8221; alignment=&#8221;left&#8221; spacing=&#8221;default&#8221; tab_color=&#8221;Accent-Color&#8221; cta_button_style=&#8221;extra-color-3&#8243; icon_size=&#8221;26&#8243;][tab icon_family=&#8221;none&#8221; title=&#8221;Professionals&#8221; id=&#8221;1771661182183-1&#8243; tab_id=&#8221;1771661182184-6&#8243;][vc_column_text]<strong>Membership fee: <\/strong>R199<strong><br \/>\nMembership type: <\/strong>Black Professionals<\/p>\n<p><strong>Please download <a href=\"https:\/\/www.blackforumsa.co.za\/wp-content\/uploads\/2021\/02\/Black-Professionals.pdf\" target=\"_blank\" rel=\"noopener\">Membership-Form<\/a> and email to info@blackforumsa.co.za or Complete online form below (in full).<br \/>\n<\/strong><\/p>\n<p><strong>I \u00a0hereby give permission that my bank account may be debited every month as follows:<\/strong>[\/vc_column_text]<div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-607\"><form id=\"wpforms-form-607\" class=\"wpforms-validate wpforms-form\" data-formid=\"607\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php\/wp-json\/wp\/v2\/pages\/611\" data-token=\"8f6e75f35393df6541f9e87a870ba845\" data-token-time=\"1781513588\"><div class=\"wpforms-head-container\"><\/div><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-607-field_3-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_3\">Title <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-607-field_3\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][3]\" required=\"required\"><option value=\"Mr\"  class=\"choice-1 depth-1\"  >Mr<\/option><option value=\"Mrs\"  class=\"choice-2 depth-1\"  >Mrs<\/option><option value=\"Miss\"  class=\"choice-3 depth-1\"  >Miss<\/option><\/select><\/div><div id=\"wpforms-607-field_13-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"13\"><label class=\"wpforms-field-label\">Names <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-607-field_13\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][13][first]\" required><label for=\"wpforms-607-field_13\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-607-field_13-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][13][last]\" required><label for=\"wpforms-607-field_13-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-607-field_7-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_7\">Gender <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-607-field_7\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][7]\" required=\"required\"><option value=\"Male\"  class=\"choice-1 depth-1\"  >Male<\/option><option value=\"Female\"  class=\"choice-2 depth-1\"  >Female<\/option><option value=\"Other\"  class=\"choice-3 depth-1\"  >Other<\/option><\/select><\/div><div id=\"wpforms-607-field_8-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_8\">ID. number <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-607-field_8\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][8]\" required><\/div><div id=\"wpforms-607-field_9-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_9\">Date of birth <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-607-field_9\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][9]\" required><div class=\"wpforms-field-description\">Example: 04 January 1994<\/div><\/div><div id=\"wpforms-607-field_22-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"22\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_22\">Mobile Number <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-607-field_22\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][22]\" required><\/div><div id=\"wpforms-607-field_15-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"15\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_15\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-607-field_15\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][15]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-607-field_16-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"16\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_16\">Occupation<\/label><input type=\"text\" id=\"wpforms-607-field_16\" class=\"wpforms-field-medium\" name=\"wpforms[fields][16]\" ><\/div><div id=\"wpforms-607-field_17-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"17\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_17\">Postal address <\/label><input type=\"text\" id=\"wpforms-607-field_17\" class=\"wpforms-field-medium\" name=\"wpforms[fields][17]\" ><\/div><div id=\"wpforms-607-field_31-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"31\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_31\">Membership type<\/label><input type=\"text\" id=\"wpforms-607-field_31\" class=\"wpforms-field-medium\" name=\"wpforms[fields][31]\" ><\/div><div id=\"wpforms-607-field_32-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"32\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_32\">Bank name<\/label><input type=\"text\" id=\"wpforms-607-field_32\" class=\"wpforms-field-medium\" name=\"wpforms[fields][32]\" ><\/div><div id=\"wpforms-607-field_33-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"33\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_33\">Account number<\/label><input type=\"text\" id=\"wpforms-607-field_33\" class=\"wpforms-field-medium\" name=\"wpforms[fields][33]\" ><\/div><div id=\"wpforms-607-field_29-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"29\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_29\">Donation <\/label><select id=\"wpforms-607-field_29\" class=\"wpforms-field-medium\" name=\"wpforms[fields][29]\"><option value=\"Yes\"  class=\"choice-1 depth-1\"  >Yes<\/option><option value=\"No\"  class=\"choice-2 depth-1\"  >No<\/option><option value=\"In future\"  class=\"choice-3 depth-1\"  >In future<\/option><\/select><div class=\"wpforms-field-description\">Please donate, We appreciate any amount. <\/div><\/div><div id=\"wpforms-607-field_30-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"30\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_30\">If yes, Please add donation amount <\/label><input type=\"text\" id=\"wpforms-607-field_30\" class=\"wpforms-field-medium\" name=\"wpforms[fields][30]\" ><div class=\"wpforms-field-description\"> We appreciate any amount.<\/div><\/div><div id=\"wpforms-607-field_19-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"19\"><label class=\"wpforms-field-label\">Donation payment method ? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-607-field_19\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-607-field_19_1\" name=\"wpforms[fields][19]\" value=\"EFT\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-607-field_19_1\">EFT<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-607-field_19_2\" name=\"wpforms[fields][19]\" value=\"Bank Deposit\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-607-field_19_2\">Bank Deposit<\/label><\/li><\/ul><div class=\"wpforms-field-description\">First National Bank\r\nAccount Number: 62856226165.\r\nBranch Name: Brooklyn.\r\nBranch Code: 251345<\/div><\/div><div id=\"wpforms-607-field_20-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"20\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_20\">Reference number <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-607-field_20\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][20]\" required><div class=\"wpforms-field-description\">Please add payment reference number<\/div><\/div><div id=\"wpforms-607-field_21-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"21\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_21\">Date of Registration <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-607-field_21\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][21]\" required><div class=\"wpforms-field-description\">Example: 04 January 2021<\/div><\/div><div id=\"wpforms-607-field_24-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"24\"><label class=\"wpforms-field-label\">Do you confirm?  <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-607-field_24\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-607-field_24_1\" name=\"wpforms[fields][24][]\" value=\"Confirm\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-607-field_24_1\">Confirm<\/label><\/li><\/ul><div class=\"wpforms-field-description\">I hereby confirm that the information provided is accurate and give permission that my bank account may be debited every month.<\/div><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"607\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/www.blackforumsa.co.za\/index.php\/wp-json\/wp\/v2\/pages\/611\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-607\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><\/div><\/form><\/div>  <!-- .wpforms-container -->[divider line_type=&#8221;No Line&#8221;][\/tab][tab icon_family=&#8221;none&#8221; title=&#8221;Student Chapter&#8221; id=&#8221;1771661181918-8&#8243; tab_id=&#8221;1771661181918-10&#8243;][vc_column_text]<strong>Membership fee:<\/strong> R20<strong><br \/>\nMembership type: <\/strong>Black Forum SA: Student Chapter<\/p>\n<p><strong>Please download <a href=\"https:\/\/www.blackforumsa.co.za\/wp-content\/uploads\/2025\/02\/Student-Chapter-Form.pdf\" target=\"_blank\" rel=\"noopener\">Membership-Form<\/a> and email to info@blackforumsa.co.za or Complete online form below (in full).<br \/>\n<\/strong><\/p>\n<p><strong>I \u00a0hereby give permission that my bank account may be debited every month as follows:<\/strong>[\/vc_column_text]<div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-1388\"><form id=\"wpforms-form-1388\" class=\"wpforms-validate wpforms-form\" data-formid=\"1388\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php\/wp-json\/wp\/v2\/pages\/611\" data-token=\"ad17c5be2497cb310df2abe494e32500\" data-token-time=\"1781513588\"><div class=\"wpforms-head-container\"><div class=\"wpforms-title\">Student Form<\/div><\/div><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-1388-field_3-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-1388-field_3\">Title <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-1388-field_3\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][3]\" required=\"required\"><option value=\"Mr\"  class=\"choice-1 depth-1\"  >Mr<\/option><option value=\"Mrs\"  class=\"choice-2 depth-1\"  >Mrs<\/option><option value=\"Miss\"  class=\"choice-3 depth-1\"  >Miss<\/option><\/select><\/div><div id=\"wpforms-1388-field_13-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"13\"><label class=\"wpforms-field-label\">Names <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-1388-field_13\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][13][first]\" required><label for=\"wpforms-1388-field_13\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-1388-field_13-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][13][last]\" required><label for=\"wpforms-1388-field_13-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-1388-field_7-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-1388-field_7\">Gender <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-1388-field_7\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][7]\" required=\"required\"><option value=\"Male\"  class=\"choice-1 depth-1\"  >Male<\/option><option value=\"Female\"  class=\"choice-2 depth-1\"  >Female<\/option><option value=\"Other\"  class=\"choice-3 depth-1\"  >Other<\/option><\/select><\/div><div id=\"wpforms-1388-field_8-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-1388-field_8\">ID. number <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1388-field_8\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][8]\" required><\/div><div id=\"wpforms-1388-field_9-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-1388-field_9\">Date of birth <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1388-field_9\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][9]\" required><div class=\"wpforms-field-description\">Example: 04 January 1994<\/div><\/div><div id=\"wpforms-1388-field_22-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"22\"><label class=\"wpforms-field-label\" for=\"wpforms-1388-field_22\">Mobile Number <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1388-field_22\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][22]\" required><\/div><div id=\"wpforms-1388-field_15-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"15\"><label class=\"wpforms-field-label\" for=\"wpforms-1388-field_15\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-1388-field_15\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][15]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-1388-field_34-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"34\"><label class=\"wpforms-field-label\" for=\"wpforms-1388-field_34\">Year of study<\/label><input type=\"text\" id=\"wpforms-1388-field_34\" class=\"wpforms-field-medium\" name=\"wpforms[fields][34]\" ><\/div><div id=\"wpforms-1388-field_16-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"16\"><label class=\"wpforms-field-label\" for=\"wpforms-1388-field_16\">Name of Institution<\/label><input type=\"text\" id=\"wpforms-1388-field_16\" class=\"wpforms-field-medium\" name=\"wpforms[fields][16]\" ><\/div><div id=\"wpforms-1388-field_35-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"35\"><label class=\"wpforms-field-label\" for=\"wpforms-1388-field_35\">Qualification<\/label><input type=\"text\" id=\"wpforms-1388-field_35\" class=\"wpforms-field-medium\" name=\"wpforms[fields][35]\" ><\/div><div id=\"wpforms-1388-field_17-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"17\"><label class=\"wpforms-field-label\" for=\"wpforms-1388-field_17\">Postal address <\/label><input type=\"text\" id=\"wpforms-1388-field_17\" class=\"wpforms-field-medium\" name=\"wpforms[fields][17]\" ><\/div><div id=\"wpforms-1388-field_31-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"31\"><label class=\"wpforms-field-label\" for=\"wpforms-1388-field_31\">Membership type<\/label><input type=\"text\" id=\"wpforms-1388-field_31\" class=\"wpforms-field-medium\" name=\"wpforms[fields][31]\" ><\/div><div id=\"wpforms-1388-field_29-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"29\"><label class=\"wpforms-field-label\" for=\"wpforms-1388-field_29\">Donation <\/label><select id=\"wpforms-1388-field_29\" class=\"wpforms-field-medium\" name=\"wpforms[fields][29]\"><option value=\"Yes\"  class=\"choice-1 depth-1\"  >Yes<\/option><option value=\"No\"  class=\"choice-2 depth-1\"  >No<\/option><option value=\"In future\"  class=\"choice-3 depth-1\"  >In future<\/option><\/select><div class=\"wpforms-field-description\">Please donate, We appreciate any amount. <\/div><\/div><div id=\"wpforms-1388-field_30-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"30\"><label class=\"wpforms-field-label\" for=\"wpforms-1388-field_30\">If yes, Please add donation amount <\/label><input type=\"text\" id=\"wpforms-1388-field_30\" class=\"wpforms-field-medium\" name=\"wpforms[fields][30]\" ><div class=\"wpforms-field-description\"> We appreciate any amount.<\/div><\/div><div id=\"wpforms-1388-field_19-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"19\"><label class=\"wpforms-field-label\">Donation payment method ? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1388-field_19\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1388-field_19_1\" name=\"wpforms[fields][19]\" value=\"EFT\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1388-field_19_1\">EFT<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1388-field_19_2\" name=\"wpforms[fields][19]\" value=\"Bank Deposit\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1388-field_19_2\">Bank Deposit<\/label><\/li><\/ul><div class=\"wpforms-field-description\">First National Bank\r\nAccount Number: 62856226165.\r\nBranch Name: Brooklyn.\r\nBranch Code: 251345<\/div><\/div><div id=\"wpforms-1388-field_20-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"20\"><label class=\"wpforms-field-label\" for=\"wpforms-1388-field_20\">Reference number <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1388-field_20\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][20]\" required><div class=\"wpforms-field-description\">Please add payment reference number<\/div><\/div><div id=\"wpforms-1388-field_21-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"21\"><label class=\"wpforms-field-label\" for=\"wpforms-1388-field_21\">Date of Registration <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1388-field_21\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][21]\" required><div class=\"wpforms-field-description\">Example: 04 January 2021<\/div><\/div><div id=\"wpforms-1388-field_24-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"24\"><label class=\"wpforms-field-label\">Do you confirm?  <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1388-field_24\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-1388-field_24_1\" name=\"wpforms[fields][24][]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1388-field_24_1\">Yes<\/label><\/li><\/ul><div class=\"wpforms-field-description\">The above information is correct.<\/div><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"1388\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/www.blackforumsa.co.za\/index.php\/wp-json\/wp\/v2\/pages\/611\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-1388\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><\/div><\/form><\/div>  <!-- .wpforms-container -->[divider line_type=&#8221;No Line&#8221;][\/tab][tab icon_family=&#8221;none&#8221; title=&#8221;SMME\u2019s&#8221; id=&#8221;1771661182283-1&#8243; tab_id=&#8221;1771661182284-0&#8243;][vc_column_text]<strong>Membership fee:<\/strong> R299<strong><br \/>\nMembership type: <\/strong>Black SMME\u2019s<\/p>\n<p><strong>Please download <a href=\"https:\/\/www.blackforumsa.co.za\/wp-content\/uploads\/2021\/02\/Black-SMMEs.pdf\" target=\"_blank\" rel=\"noopener\">Membership-Form<\/a> and email to info@blackforumsa.co.za or Complete online form below (in full).<br \/>\n<\/strong><\/p>\n<p><strong>I \u00a0hereby give permission that my bank account may be debited every month as follows:<\/strong>[\/vc_column_text]<div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-607\"><form id=\"wpforms-form-607\" class=\"wpforms-validate wpforms-form\" data-formid=\"607\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php\/wp-json\/wp\/v2\/pages\/611\" data-token=\"8f6e75f35393df6541f9e87a870ba845\" data-token-time=\"1781513588\"><div class=\"wpforms-head-container\"><\/div><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-607-field_3-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_3\">Title <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-607-field_3\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][3]\" required=\"required\"><option value=\"Mr\"  class=\"choice-1 depth-1\"  >Mr<\/option><option value=\"Mrs\"  class=\"choice-2 depth-1\"  >Mrs<\/option><option value=\"Miss\"  class=\"choice-3 depth-1\"  >Miss<\/option><\/select><\/div><div id=\"wpforms-607-field_13-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"13\"><label class=\"wpforms-field-label\">Names <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-607-field_13\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][13][first]\" required><label for=\"wpforms-607-field_13\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-607-field_13-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][13][last]\" required><label for=\"wpforms-607-field_13-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-607-field_7-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_7\">Gender <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-607-field_7\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][7]\" required=\"required\"><option value=\"Male\"  class=\"choice-1 depth-1\"  >Male<\/option><option value=\"Female\"  class=\"choice-2 depth-1\"  >Female<\/option><option value=\"Other\"  class=\"choice-3 depth-1\"  >Other<\/option><\/select><\/div><div id=\"wpforms-607-field_8-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_8\">ID. number <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-607-field_8\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][8]\" required><\/div><div id=\"wpforms-607-field_9-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_9\">Date of birth <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-607-field_9\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][9]\" required><div class=\"wpforms-field-description\">Example: 04 January 1994<\/div><\/div><div id=\"wpforms-607-field_22-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"22\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_22\">Mobile Number <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-607-field_22\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][22]\" required><\/div><div id=\"wpforms-607-field_15-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"15\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_15\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-607-field_15\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][15]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-607-field_16-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"16\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_16\">Occupation<\/label><input type=\"text\" id=\"wpforms-607-field_16\" class=\"wpforms-field-medium\" name=\"wpforms[fields][16]\" ><\/div><div id=\"wpforms-607-field_17-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"17\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_17\">Postal address <\/label><input type=\"text\" id=\"wpforms-607-field_17\" class=\"wpforms-field-medium\" name=\"wpforms[fields][17]\" ><\/div><div id=\"wpforms-607-field_31-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"31\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_31\">Membership type<\/label><input type=\"text\" id=\"wpforms-607-field_31\" class=\"wpforms-field-medium\" name=\"wpforms[fields][31]\" ><\/div><div id=\"wpforms-607-field_32-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"32\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_32\">Bank name<\/label><input type=\"text\" id=\"wpforms-607-field_32\" class=\"wpforms-field-medium\" name=\"wpforms[fields][32]\" ><\/div><div id=\"wpforms-607-field_33-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"33\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_33\">Account number<\/label><input type=\"text\" id=\"wpforms-607-field_33\" class=\"wpforms-field-medium\" name=\"wpforms[fields][33]\" ><\/div><div id=\"wpforms-607-field_29-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"29\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_29\">Donation <\/label><select id=\"wpforms-607-field_29\" class=\"wpforms-field-medium\" name=\"wpforms[fields][29]\"><option value=\"Yes\"  class=\"choice-1 depth-1\"  >Yes<\/option><option value=\"No\"  class=\"choice-2 depth-1\"  >No<\/option><option value=\"In future\"  class=\"choice-3 depth-1\"  >In future<\/option><\/select><div class=\"wpforms-field-description\">Please donate, We appreciate any amount. <\/div><\/div><div id=\"wpforms-607-field_30-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"30\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_30\">If yes, Please add donation amount <\/label><input type=\"text\" id=\"wpforms-607-field_30\" class=\"wpforms-field-medium\" name=\"wpforms[fields][30]\" ><div class=\"wpforms-field-description\"> We appreciate any amount.<\/div><\/div><div id=\"wpforms-607-field_19-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"19\"><label class=\"wpforms-field-label\">Donation payment method ? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-607-field_19\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-607-field_19_1\" name=\"wpforms[fields][19]\" value=\"EFT\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-607-field_19_1\">EFT<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-607-field_19_2\" name=\"wpforms[fields][19]\" value=\"Bank Deposit\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-607-field_19_2\">Bank Deposit<\/label><\/li><\/ul><div class=\"wpforms-field-description\">First National Bank\r\nAccount Number: 62856226165.\r\nBranch Name: Brooklyn.\r\nBranch Code: 251345<\/div><\/div><div id=\"wpforms-607-field_20-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"20\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_20\">Reference number <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-607-field_20\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][20]\" required><div class=\"wpforms-field-description\">Please add payment reference number<\/div><\/div><div id=\"wpforms-607-field_21-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"21\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_21\">Date of Registration <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-607-field_21\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][21]\" required><div class=\"wpforms-field-description\">Example: 04 January 2021<\/div><\/div><div id=\"wpforms-607-field_24-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"24\"><label class=\"wpforms-field-label\">Do you confirm?  <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-607-field_24\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-607-field_24_1\" name=\"wpforms[fields][24][]\" value=\"Confirm\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-607-field_24_1\">Confirm<\/label><\/li><\/ul><div class=\"wpforms-field-description\">I hereby confirm that the information provided is accurate and give permission that my bank account may be debited every month.<\/div><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"607\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/www.blackforumsa.co.za\/index.php\/wp-json\/wp\/v2\/pages\/611\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-607\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><\/div><\/form><\/div>  <!-- .wpforms-container -->[divider line_type=&#8221;No Line&#8221;][\/tab][tab icon_family=&#8221;none&#8221; title=&#8221;Businesses&#8221; id=&#8221;1771661182377-4&#8243; tab_id=&#8221;1771661182377-0&#8243;][vc_column_text]<strong>Membership fee:<\/strong> R1499<strong><br \/>\nMembership type: <\/strong>Black Businesses<\/p>\n<p><strong>Please download <a href=\"https:\/\/www.blackforumsa.co.za\/wp-content\/uploads\/2021\/02\/Black-Businesses.pdf\" target=\"_blank\" rel=\"noopener\">Membership-Form<\/a> and email to info@blackforumsa.co.za or Complete online form below (in full).<br \/>\n<\/strong><\/p>\n<p><strong>I \u00a0hereby give permission that my bank account may be debited every month as follows:<\/strong>[\/vc_column_text]<div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-607\"><form id=\"wpforms-form-607\" class=\"wpforms-validate wpforms-form\" data-formid=\"607\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php\/wp-json\/wp\/v2\/pages\/611\" data-token=\"8f6e75f35393df6541f9e87a870ba845\" data-token-time=\"1781513588\"><div class=\"wpforms-head-container\"><\/div><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-607-field_3-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_3\">Title <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-607-field_3\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][3]\" required=\"required\"><option value=\"Mr\"  class=\"choice-1 depth-1\"  >Mr<\/option><option value=\"Mrs\"  class=\"choice-2 depth-1\"  >Mrs<\/option><option value=\"Miss\"  class=\"choice-3 depth-1\"  >Miss<\/option><\/select><\/div><div id=\"wpforms-607-field_13-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"13\"><label class=\"wpforms-field-label\">Names <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-607-field_13\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][13][first]\" required><label for=\"wpforms-607-field_13\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-607-field_13-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][13][last]\" required><label for=\"wpforms-607-field_13-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-607-field_7-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_7\">Gender <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-607-field_7\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][7]\" required=\"required\"><option value=\"Male\"  class=\"choice-1 depth-1\"  >Male<\/option><option value=\"Female\"  class=\"choice-2 depth-1\"  >Female<\/option><option value=\"Other\"  class=\"choice-3 depth-1\"  >Other<\/option><\/select><\/div><div id=\"wpforms-607-field_8-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_8\">ID. number <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-607-field_8\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][8]\" required><\/div><div id=\"wpforms-607-field_9-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_9\">Date of birth <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-607-field_9\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][9]\" required><div class=\"wpforms-field-description\">Example: 04 January 1994<\/div><\/div><div id=\"wpforms-607-field_22-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"22\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_22\">Mobile Number <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-607-field_22\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][22]\" required><\/div><div id=\"wpforms-607-field_15-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"15\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_15\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-607-field_15\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][15]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-607-field_16-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"16\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_16\">Occupation<\/label><input type=\"text\" id=\"wpforms-607-field_16\" class=\"wpforms-field-medium\" name=\"wpforms[fields][16]\" ><\/div><div id=\"wpforms-607-field_17-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"17\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_17\">Postal address <\/label><input type=\"text\" id=\"wpforms-607-field_17\" class=\"wpforms-field-medium\" name=\"wpforms[fields][17]\" ><\/div><div id=\"wpforms-607-field_31-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"31\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_31\">Membership type<\/label><input type=\"text\" id=\"wpforms-607-field_31\" class=\"wpforms-field-medium\" name=\"wpforms[fields][31]\" ><\/div><div id=\"wpforms-607-field_32-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"32\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_32\">Bank name<\/label><input type=\"text\" id=\"wpforms-607-field_32\" class=\"wpforms-field-medium\" name=\"wpforms[fields][32]\" ><\/div><div id=\"wpforms-607-field_33-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"33\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_33\">Account number<\/label><input type=\"text\" id=\"wpforms-607-field_33\" class=\"wpforms-field-medium\" name=\"wpforms[fields][33]\" ><\/div><div id=\"wpforms-607-field_29-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"29\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_29\">Donation <\/label><select id=\"wpforms-607-field_29\" class=\"wpforms-field-medium\" name=\"wpforms[fields][29]\"><option value=\"Yes\"  class=\"choice-1 depth-1\"  >Yes<\/option><option value=\"No\"  class=\"choice-2 depth-1\"  >No<\/option><option value=\"In future\"  class=\"choice-3 depth-1\"  >In future<\/option><\/select><div class=\"wpforms-field-description\">Please donate, We appreciate any amount. <\/div><\/div><div id=\"wpforms-607-field_30-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"30\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_30\">If yes, Please add donation amount <\/label><input type=\"text\" id=\"wpforms-607-field_30\" class=\"wpforms-field-medium\" name=\"wpforms[fields][30]\" ><div class=\"wpforms-field-description\"> We appreciate any amount.<\/div><\/div><div id=\"wpforms-607-field_19-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"19\"><label class=\"wpforms-field-label\">Donation payment method ? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-607-field_19\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-607-field_19_1\" name=\"wpforms[fields][19]\" value=\"EFT\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-607-field_19_1\">EFT<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-607-field_19_2\" name=\"wpforms[fields][19]\" value=\"Bank Deposit\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-607-field_19_2\">Bank Deposit<\/label><\/li><\/ul><div class=\"wpforms-field-description\">First National Bank\r\nAccount Number: 62856226165.\r\nBranch Name: Brooklyn.\r\nBranch Code: 251345<\/div><\/div><div id=\"wpforms-607-field_20-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"20\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_20\">Reference number <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-607-field_20\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][20]\" required><div class=\"wpforms-field-description\">Please add payment reference number<\/div><\/div><div id=\"wpforms-607-field_21-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"21\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_21\">Date of Registration <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-607-field_21\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][21]\" required><div class=\"wpforms-field-description\">Example: 04 January 2021<\/div><\/div><div id=\"wpforms-607-field_24-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"24\"><label class=\"wpforms-field-label\">Do you confirm?  <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-607-field_24\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-607-field_24_1\" name=\"wpforms[fields][24][]\" value=\"Confirm\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-607-field_24_1\">Confirm<\/label><\/li><\/ul><div class=\"wpforms-field-description\">I hereby confirm that the information provided is accurate and give permission that my bank account may be debited every month.<\/div><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"607\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/www.blackforumsa.co.za\/index.php\/wp-json\/wp\/v2\/pages\/611\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-607\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><\/div><\/form><\/div>  <!-- .wpforms-container -->[divider line_type=&#8221;No Line&#8221;][\/tab][tab icon_family=&#8221;none&#8221; title=&#8221;Interest groups&#8221; id=&#8221;1771661182479-7&#8243; tab_id=&#8221;1771661182479-6&#8243;][vc_column_text]<strong>Membership fee:<\/strong> R499<strong><br \/>\nMembership type: <\/strong>Black interest groups<\/p>\n<p><strong>Please download <a href=\"https:\/\/www.blackforumsa.co.za\/wp-content\/uploads\/2021\/02\/Black-interest-groups.pdf\" target=\"_blank\" rel=\"noopener\">Membership-Form<\/a> and email to info@blackforumsa.co.za or Complete online form below (in full).<br \/>\n<\/strong><\/p>\n<p><strong>I \u00a0hereby give permission that my bank account may be debited every month as follows:<\/strong>[\/vc_column_text]<div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-607\"><form id=\"wpforms-form-607\" class=\"wpforms-validate wpforms-form\" data-formid=\"607\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php\/wp-json\/wp\/v2\/pages\/611\" data-token=\"8f6e75f35393df6541f9e87a870ba845\" data-token-time=\"1781513588\"><div class=\"wpforms-head-container\"><\/div><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-607-field_3-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_3\">Title <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-607-field_3\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][3]\" required=\"required\"><option value=\"Mr\"  class=\"choice-1 depth-1\"  >Mr<\/option><option value=\"Mrs\"  class=\"choice-2 depth-1\"  >Mrs<\/option><option value=\"Miss\"  class=\"choice-3 depth-1\"  >Miss<\/option><\/select><\/div><div id=\"wpforms-607-field_13-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"13\"><label class=\"wpforms-field-label\">Names <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-607-field_13\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][13][first]\" required><label for=\"wpforms-607-field_13\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-607-field_13-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][13][last]\" required><label for=\"wpforms-607-field_13-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-607-field_7-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_7\">Gender <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-607-field_7\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][7]\" required=\"required\"><option value=\"Male\"  class=\"choice-1 depth-1\"  >Male<\/option><option value=\"Female\"  class=\"choice-2 depth-1\"  >Female<\/option><option value=\"Other\"  class=\"choice-3 depth-1\"  >Other<\/option><\/select><\/div><div id=\"wpforms-607-field_8-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_8\">ID. number <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-607-field_8\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][8]\" required><\/div><div id=\"wpforms-607-field_9-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_9\">Date of birth <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-607-field_9\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][9]\" required><div class=\"wpforms-field-description\">Example: 04 January 1994<\/div><\/div><div id=\"wpforms-607-field_22-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"22\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_22\">Mobile Number <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-607-field_22\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][22]\" required><\/div><div id=\"wpforms-607-field_15-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"15\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_15\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-607-field_15\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][15]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-607-field_16-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"16\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_16\">Occupation<\/label><input type=\"text\" id=\"wpforms-607-field_16\" class=\"wpforms-field-medium\" name=\"wpforms[fields][16]\" ><\/div><div id=\"wpforms-607-field_17-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"17\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_17\">Postal address <\/label><input type=\"text\" id=\"wpforms-607-field_17\" class=\"wpforms-field-medium\" name=\"wpforms[fields][17]\" ><\/div><div id=\"wpforms-607-field_31-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"31\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_31\">Membership type<\/label><input type=\"text\" id=\"wpforms-607-field_31\" class=\"wpforms-field-medium\" name=\"wpforms[fields][31]\" ><\/div><div id=\"wpforms-607-field_32-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"32\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_32\">Bank name<\/label><input type=\"text\" id=\"wpforms-607-field_32\" class=\"wpforms-field-medium\" name=\"wpforms[fields][32]\" ><\/div><div id=\"wpforms-607-field_33-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"33\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_33\">Account number<\/label><input type=\"text\" id=\"wpforms-607-field_33\" class=\"wpforms-field-medium\" name=\"wpforms[fields][33]\" ><\/div><div id=\"wpforms-607-field_29-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"29\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_29\">Donation <\/label><select id=\"wpforms-607-field_29\" class=\"wpforms-field-medium\" name=\"wpforms[fields][29]\"><option value=\"Yes\"  class=\"choice-1 depth-1\"  >Yes<\/option><option value=\"No\"  class=\"choice-2 depth-1\"  >No<\/option><option value=\"In future\"  class=\"choice-3 depth-1\"  >In future<\/option><\/select><div class=\"wpforms-field-description\">Please donate, We appreciate any amount. <\/div><\/div><div id=\"wpforms-607-field_30-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"30\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_30\">If yes, Please add donation amount <\/label><input type=\"text\" id=\"wpforms-607-field_30\" class=\"wpforms-field-medium\" name=\"wpforms[fields][30]\" ><div class=\"wpforms-field-description\"> We appreciate any amount.<\/div><\/div><div id=\"wpforms-607-field_19-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"19\"><label class=\"wpforms-field-label\">Donation payment method ? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-607-field_19\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-607-field_19_1\" name=\"wpforms[fields][19]\" value=\"EFT\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-607-field_19_1\">EFT<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-607-field_19_2\" name=\"wpforms[fields][19]\" value=\"Bank Deposit\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-607-field_19_2\">Bank Deposit<\/label><\/li><\/ul><div class=\"wpforms-field-description\">First National Bank\r\nAccount Number: 62856226165.\r\nBranch Name: Brooklyn.\r\nBranch Code: 251345<\/div><\/div><div id=\"wpforms-607-field_20-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"20\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_20\">Reference number <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-607-field_20\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][20]\" required><div class=\"wpforms-field-description\">Please add payment reference number<\/div><\/div><div id=\"wpforms-607-field_21-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"21\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_21\">Date of Registration <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-607-field_21\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][21]\" required><div class=\"wpforms-field-description\">Example: 04 January 2021<\/div><\/div><div id=\"wpforms-607-field_24-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"24\"><label class=\"wpforms-field-label\">Do you confirm?  <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-607-field_24\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-607-field_24_1\" name=\"wpforms[fields][24][]\" value=\"Confirm\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-607-field_24_1\">Confirm<\/label><\/li><\/ul><div class=\"wpforms-field-description\">I hereby confirm that the information provided is accurate and give permission that my bank account may be debited every month.<\/div><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"607\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/www.blackforumsa.co.za\/index.php\/wp-json\/wp\/v2\/pages\/611\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-607\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><\/div><\/form><\/div>  <!-- .wpforms-container -->[divider line_type=&#8221;No Line&#8221;][\/tab][tab icon_family=&#8221;none&#8221; title=&#8221;General membership&#8221; id=&#8221;1771661182087-5&#8243; tab_id=&#8221;1771661182088-6&#8243;][vc_column_text]<strong>Membership fee:<\/strong> R90<strong><br \/>\nMembership type: <\/strong>General membership<strong><br \/>\n<\/strong><\/p>\n<p><strong>Please download <a href=\"https:\/\/www.blackforumsa.co.za\/wp-content\/uploads\/2023\/01\/General-forms-1.pdf\" target=\"_blank\" rel=\"noopener\">Membership-Form<\/a> and email to info@blackforumsa.co.za or Complete online form below (in full).<br \/>\n<\/strong><\/p>\n<p><strong>I \u00a0hereby give permission that my bank account may be debited every month as follows:<\/strong>[\/vc_column_text]<div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-607\"><form id=\"wpforms-form-607\" class=\"wpforms-validate wpforms-form\" data-formid=\"607\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php\/wp-json\/wp\/v2\/pages\/611\" data-token=\"8f6e75f35393df6541f9e87a870ba845\" data-token-time=\"1781513588\"><div class=\"wpforms-head-container\"><\/div><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-607-field_3-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_3\">Title <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-607-field_3\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][3]\" required=\"required\"><option value=\"Mr\"  class=\"choice-1 depth-1\"  >Mr<\/option><option value=\"Mrs\"  class=\"choice-2 depth-1\"  >Mrs<\/option><option value=\"Miss\"  class=\"choice-3 depth-1\"  >Miss<\/option><\/select><\/div><div id=\"wpforms-607-field_13-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"13\"><label class=\"wpforms-field-label\">Names <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-607-field_13\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][13][first]\" required><label for=\"wpforms-607-field_13\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-607-field_13-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][13][last]\" required><label for=\"wpforms-607-field_13-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-607-field_7-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_7\">Gender <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-607-field_7\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][7]\" required=\"required\"><option value=\"Male\"  class=\"choice-1 depth-1\"  >Male<\/option><option value=\"Female\"  class=\"choice-2 depth-1\"  >Female<\/option><option value=\"Other\"  class=\"choice-3 depth-1\"  >Other<\/option><\/select><\/div><div id=\"wpforms-607-field_8-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_8\">ID. number <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-607-field_8\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][8]\" required><\/div><div id=\"wpforms-607-field_9-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_9\">Date of birth <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-607-field_9\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][9]\" required><div class=\"wpforms-field-description\">Example: 04 January 1994<\/div><\/div><div id=\"wpforms-607-field_22-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"22\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_22\">Mobile Number <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-607-field_22\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][22]\" required><\/div><div id=\"wpforms-607-field_15-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"15\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_15\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-607-field_15\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][15]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-607-field_16-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"16\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_16\">Occupation<\/label><input type=\"text\" id=\"wpforms-607-field_16\" class=\"wpforms-field-medium\" name=\"wpforms[fields][16]\" ><\/div><div id=\"wpforms-607-field_17-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"17\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_17\">Postal address <\/label><input type=\"text\" id=\"wpforms-607-field_17\" class=\"wpforms-field-medium\" name=\"wpforms[fields][17]\" ><\/div><div id=\"wpforms-607-field_31-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"31\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_31\">Membership type<\/label><input type=\"text\" id=\"wpforms-607-field_31\" class=\"wpforms-field-medium\" name=\"wpforms[fields][31]\" ><\/div><div id=\"wpforms-607-field_32-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"32\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_32\">Bank name<\/label><input type=\"text\" id=\"wpforms-607-field_32\" class=\"wpforms-field-medium\" name=\"wpforms[fields][32]\" ><\/div><div id=\"wpforms-607-field_33-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"33\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_33\">Account number<\/label><input type=\"text\" id=\"wpforms-607-field_33\" class=\"wpforms-field-medium\" name=\"wpforms[fields][33]\" ><\/div><div id=\"wpforms-607-field_29-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"29\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_29\">Donation <\/label><select id=\"wpforms-607-field_29\" class=\"wpforms-field-medium\" name=\"wpforms[fields][29]\"><option value=\"Yes\"  class=\"choice-1 depth-1\"  >Yes<\/option><option value=\"No\"  class=\"choice-2 depth-1\"  >No<\/option><option value=\"In future\"  class=\"choice-3 depth-1\"  >In future<\/option><\/select><div class=\"wpforms-field-description\">Please donate, We appreciate any amount. <\/div><\/div><div id=\"wpforms-607-field_30-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"30\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_30\">If yes, Please add donation amount <\/label><input type=\"text\" id=\"wpforms-607-field_30\" class=\"wpforms-field-medium\" name=\"wpforms[fields][30]\" ><div class=\"wpforms-field-description\"> We appreciate any amount.<\/div><\/div><div id=\"wpforms-607-field_19-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"19\"><label class=\"wpforms-field-label\">Donation payment method ? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-607-field_19\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-607-field_19_1\" name=\"wpforms[fields][19]\" value=\"EFT\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-607-field_19_1\">EFT<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-607-field_19_2\" name=\"wpforms[fields][19]\" value=\"Bank Deposit\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-607-field_19_2\">Bank Deposit<\/label><\/li><\/ul><div class=\"wpforms-field-description\">First National Bank\r\nAccount Number: 62856226165.\r\nBranch Name: Brooklyn.\r\nBranch Code: 251345<\/div><\/div><div id=\"wpforms-607-field_20-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"20\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_20\">Reference number <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-607-field_20\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][20]\" required><div class=\"wpforms-field-description\">Please add payment reference number<\/div><\/div><div id=\"wpforms-607-field_21-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"21\"><label class=\"wpforms-field-label\" for=\"wpforms-607-field_21\">Date of Registration <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-607-field_21\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][21]\" required><div class=\"wpforms-field-description\">Example: 04 January 2021<\/div><\/div><div id=\"wpforms-607-field_24-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"24\"><label class=\"wpforms-field-label\">Do you confirm?  <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-607-field_24\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-607-field_24_1\" name=\"wpforms[fields][24][]\" value=\"Confirm\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-607-field_24_1\">Confirm<\/label><\/li><\/ul><div class=\"wpforms-field-description\">I hereby confirm that the information provided is accurate and give permission that my bank account may be debited every month.<\/div><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"607\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/www.blackforumsa.co.za\/index.php\/wp-json\/wp\/v2\/pages\/611\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-607\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><\/div><\/form><\/div>  <!-- .wpforms-container -->[divider line_type=&#8221;No Line&#8221;][\/tab][tab icon_family=&#8221;none&#8221; title=&#8221;Bank Details&#8221; id=&#8221;1771661182566-8&#8243; tab_id=&#8221;1771661182566-9&#8243;][vc_column_text]<strong>First National Bank<\/strong><br \/>\nAccount Number: 62856226165<br \/>\nBranch Name: Brooklyn<br \/>\nBranch Code: 251345[\/vc_column_text][divider line_type=&#8221;No Line&#8221;][\/tab][\/tabbed_section][\/vc_column][\/vc_row]\n","protected":false},"excerpt":{"rendered":"<p>[vc_row type=&#8221;full_width_background&#8221; full_screen_row_position=&#8221;middle&#8221; column_margin=&#8221;default&#8221; bg_color=&#8221;#ffffff&#8221; scene_position=&#8221;center&#8221; text_color=&#8221;dark&#8221; text_align=&#8221;left&#8221; top_padding=&#8221;0&#8243; bottom_padding=&#8221;0&#8243; id=&#8221;category-grids&#8221; overlay_strength=&#8221;0.3&#8243; shape_divider_position=&#8221;bottom&#8221; bg_image_animation=&#8221;none&#8221; shape_type=&#8221;&#8221;][vc_column column_padding=&#8221;no-extra-padding&#8221; column_padding_position=&#8221;all&#8221; background_color_opacity=&#8221;1&#8243; background_hover_color_opacity=&#8221;1&#8243; column_link_target=&#8221;_self&#8221; column_shadow=&#8221;none&#8221; column_border_radius=&#8221;none&#8221; width=&#8221;1\/1&#8243; tablet_width_inherit=&#8221;default&#8221; tablet_text_alignment=&#8221;default&#8221; phone_text_alignment=&#8221;default&#8221; overlay_strength=&#8221;0.3&#8243; column_border_width=&#8221;none&#8221; column_border_style=&#8221;solid&#8221; 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