Complete the form below to join Scooter Angels. (No 3rd party applications.)

 Note that we charge an annual admin fee of R120.00. This needs to be paid to activate your membership so that you can start using our services as a member.

Our banking details and instructions will be emailed to you upon completion of the form. There are no other monthly fees or obligations!

 CUSTOMER DETAILS (all fields compulsory)
Name
Surname
Id
Address
Suburb
Code
Cell
Email
Confirm Email
VEHICLE DETAILS
Make
Model
Colour
Insurance Company Name
Emergency Contact Person's Name & Number
Validation code:

(Enter the code as it is shown above.)
I hereby acknowledge that I am 18 years or older, have read and understand the Terms & Conditions
Invite 5 of your Friends and get allocated a free ride home when they join!