Everyone has a right to quality health care

In Africa, quality health care is not a given. With your help, the Global Health Membership can make a difference. Your contribution adds to the efforts of the African families themselves and can ensure them access to quality health care.

So that they, too, can build a healthy future. Global Health Membership matches people who care to people who need care. We find each other. That’s what it’s all about.

Yes, I want to join!

With your registration, you are helping to ensure a healthy future for an African family.

I want to join the Global Health Membership. By registering, I authorize the Health Insurance Fund to debit my bank account monthly in accordance with the instructions I have given on the form below.

Do you have any further questions? Call us on: 020-2103920

By submitting the form, you authorize Health Insurance Fund to send instructions to your bank to debit your account and your bank to debit your account in accordance with the instructions. As part of your rights, you are entitled to a refund from your bank under the terms and conditions of your agreement with your bank. A refund must be claimed within 8 weeks starting from the date on which your account was debited. On your bank statement, you can identify the Health Insurance Fund by the following Creditor Identifier: NL93ZZZ342344560000.

First name **
Last name **
Gender **
- Man
- Female
Date of birth **
Postal code **
Number **
Street **
City **
E-mail address **
Telephone number
IBAN code **
Amount **
- 3 euro per month
- 5 euro per month
- I would like to stay informed. Mail me the Global Health Membership newsletter.
I agree with the Terms and Conditions.

* Required fields
Name
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Your details

We will handle your personal details securely and with care and will never reveal your data to third parties. Your information will only be used for our own records and to send you our newsletter.

What happens now?

After registration you will receive an e-mail confirmation of your participation. We will keep you informed regularly through our e-mail newsletter.

Payment

Your monthly contribution is paid by direct debit to the Health Insurance Fund. Your donation is subject to the Terms and Conditions of the Health Insurance Fund

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