GET INVOLVED · EST. 2016

How would you like to connect?

Choose the form that best matches your enquiry or application. Each one is designed to be easy to complete on a phone.

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Lupus Warrior Registration

Registering helps NoniM Lupus Foundation understand community needs and plan relevant awareness, education and support activities. Registration does not guarantee services, financial assistance or medical care.

Full name Required

Preferred name Optional

Email address Required

Mobile number Optional

Province Required

Town / area Required

I am registering as Required

Person living with lupusCaregiver or family memberOther supporter

What would you like the Foundation to know about your community needs? OptionalPlease do not include medical records or medication lists.

How may we contact you? Optional

EmailPhoneWhatsApp

Accessibility or communication needs Optional

This opens your email app; check and send the email yourself. It is not sent automatically. Do not include medical records or personal health details in email.

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Purple Wings Membership Enquiry

Purple Wings is a community support space for people affected by lupus, including lupus warriors and caregivers. Submit this enquiry to express interest in joining. Joining details and any group rules will be shared after review.

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Ambassador Application

Foundation ambassadors help share approved lupus awareness messages and represent the Foundation only after written appointment and briefing.

Full name Required

Email address Required

Mobile number Required

Town / province Required

Organisation, school or community affiliation Optional

Social media or public profile links Optional

Languages spoken Optional

Relevant awareness, advocacy or community experience Optional

Why would you like to become an ambassador? Required

How would you share approved awareness messages? Required

Availability Required

This opens your email app with your details drafted. Review the message and press Send in your email app. The website does not send it automatically.

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Sponsorship and Partnership Enquiry

We welcome businesses and organisations interested in supporting lupus awareness, education and community programmes through in-kind resources, products, professional services, venues, equipment, printing, transport or other practical support. The Foundation does not accept cash donations.

Organisation / business name Required

Contact person and role Required

Work email address Required

Telephone number Required

Website Optional

Town / province Required

Describe the support you are offering Required

Estimated timing or event (if applicable) Optional

Additional information Optional

This opens your email app with your details drafted. Review the message and press Send in your email app. The website does not send it automatically.

Privacy and support

The Foundation collects information only for the stated purpose of each form. Forms must not be activated before the Foundation approves its POPIA privacy notice, access restrictions, data retention process and submission routing.