Member Registration - Step 2

Step 2

Account Information

Business Details

Registered Business Name*

Trading Name (the name other members will see)*

Business Website Address*

Business Email Address*

Business Phone Number*

Add your LinkedIn Profile URL (optional)

Business Address

Address Line 1*

Address Line 2*

Town / City*

Province*

Country

Use the same address as Postal Address

Service Offering

Service Name* 100 characters

Write an overview about your business in relation to the healthcare sector and the SAFHE values. Please note, this information will be used in your profile that other members will see if your application is approved. You will be able to update this information in your member portal.*

Upload a business profile (only PDF files accepted)

Upload a profile photo*

Please note that this image will be used in your member profile.

Drag & drop or click to upload from your device

PLEASE NOTE:
After approval of admission, membership will be granted subject to payment of the entrance fee and annual subscription.

I accept all terms & conditions and privacy policies

Member Application

Account Information

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