MEMBERSHIP APPLICATION
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MEMBERSHIP APPLICATION
FPASA VAT Registration Number: 4110103100
Please enroll the Company/Me as a :
Corporate Member - R2 280,00 including VAT
Full Associate Member - R 570,00 including VAT
Individual Associate Member - R 133,00 including VAT
Name of Company /Individual
Nature of Business Conducted
Designation of Recipient of Publications
Postal Address
Street Address
Telephone Number
Fax Number
E-mail Address
I/We enclose cheque/postal orders for
R
VAT Registration Number
Send Account to
For Attention of
Order No
