Sign up to Rhodetrip

PARENT DETAILS
Parent / Guardian Full Name:
Parent's Contact Details (Cell):
Parent's Email Address:
 
PAYMENT OPTION
If you are paying once off via Internet Transfer our banking details are:

Rhode Trip (Pty) Ltd
Standard Bank
Grahamstown
Account Number: 081 993 765
Branch Code: 05091741

Please email proof of payment to info@rhodetrip.co.za.

Debit Order please enter your bank details below

This information will ONLY be used for a debit order. Please enter your details below. Debit run will take place on the 1st of each month.

STUDENT DETAILS
Complete your student details below.
Student Name Surname:
Student Number (600a0000):
ID Number:
Rhodes University Address/RES:
Contact Details: (Cell):
Member in 2011?:
I have read and accept the Services Agreement
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