Joining Information Request

Thank you for visiting our website and inquiring about CAMAF.


Please complete the following information and we will ensure that a CAMAF representative contacts you within two working days to assist you with your application.


    Your Name and Surname (required):

    Date of birth (required):

    Please specify your area (required):

    Current Medical Aid (required):

    Contact Number (required):

    Your Email (required)

    Method of referral