Membership Application

Please fill in the following from:
 
Name of Business:
Naam van Besigheid:
 
Contact person: (Mr/Ms)
Kontak persoon: (Mnr/Me)
 
Telephone:
Telefoon:
 
Cellphone:
Selfoon:
 
Fax:
Faks:
 
E-mail:
E-pos:
 
Address:
Adres:

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
 
Sector in which engaged:
Industrie waarby betrokke:
 
Number of employees:
Aantal werknemers:
 
VAT Reg No:
BTW Reg Nr:
 
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ENTRANCE FEE AND MEMBERSHIP FEE / INTREEGELD EN LEDEGELD

 
Every application for membership shall be accompanied by an entrance fee of R264.00 (excl. vat) 
and monthly membership fee amounting to R132.00 (excl. vat) 
Elke aansoek om lidmaatskap moet vergesel wees van intreegeld van R264.00 (excl. vat) asook 
maandelikse ledegeld ten bedrae van R132.00 (excl. vat) 


DEBIT ORDER / DEBIETORDER

Companies must please arrange for debit order transfers to the following bank account) 
(Ondernemings moet asseblief betrokke reëlings vir debietorder oorplasings na genoemde bankrekening doen

 
Name of bank: ABSA NELSPRUIT
Naam van bank: 
 

Account No: 01 01 09 00 081
Rekening No: 
 

Bank branch Code: 50 08 52 43
Bank takkode: 
 

Type of account: TJEK REKENING / CURRENT ACCOUNT
Tipe rekening: 
 

PLEASE NOTE: AFTER JOINING THE ORGANISATION PLEASE FAX YOUR DEPOSIT SLIP TO OUR OFFICE 
If you want to resign please give us two months written notice.