Join Us - Corporate Membership


Please complete the fields marked with a red *

Company Name *

Core Business of Company

Contact Person *

Position in Company

Postal Address

Postal Code

Tel No. *

Fax No.

E Mail *

Web Address

Can we put your company's name on the Corporate Supporters list on our website?

Yes

No

Would you prefer that we link your company's name with your own website?
(Additional cost: US$50/ZAR350)

Yes

No

Membership Fee is US$100/ZAR700 annually

Total

 

Banking Details:

Bank Name:

Nedbank

Branch:

Campus Square

Branch Code:

158 105

Cheque Acc. No.:

1581 0696 42

Reference No.:

Your name

Please send proof of payment via email to or fax to +27 (0)11 482 5419. As soon as proof of payment has been received you will be issued with an official receipt.

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