LIDMAATSKAP
AANSOEKVORM
Voorletters en van:
____________________________________________________________
Posadres:
_____________________________________________________________________
______________________________________________________________________________
_____________________________________________________________ Kode: __________
Telefoon nr. en kode:
( ________ ) _____________________
Faks nr. en kode: (
________ ) _________________________
E-pos adres:
_________________________________________
Werkgewer:
_________________________________________
Beroep:
____________________________________________
Kategorie lidmaatskap:
Gewone
lid
R100
Voltydse student (verskaf
bewys) R50
Lewenslid
R1 500
Ledegeld is betaalbaar
in Suid-Afrikaanse Rand,
en kan as volg betaal word:
· Tjek getrek op n
Suid-Afrikaanse bank wat uitgemaak is aan die Ekonomiese
Vereniging van
Suid-Afrika
· n Bankoordrag of
deposito gekrediteer teen die volgende rekening:
Ekonomiese Vereniging van SA
Nedbank, Pretoria-tak
Rekeningnommer: 1604 086 173
Pos asb die aansoekvorm
en die tjek of depositostrokie aan:
Die Ekonomiese Vereniging van
Suid-Afrika
Posbus 929
PRETORIA
0001
OF:Faks aansoekvorm en
depositostrokie aan:
Ekonomiese
Vereniging
Faks (012) 654 5395
MEMBERSHIP APPLICATION FORM
Initials and
surname: __________________________________________________________
Postal address:
________________________________________________________________
______________________________________________________________________________
__________________________________________________________ Code: _____________
Telephone No. and
Code: ( ________ ) __________________
Fax No. and Code: (
________ ) ________________________
E-mail address:
________________________________________
Employer:
_____________________________________________
Occupation:
__________________________________________
Category of membership:
Ordinary
member
R100
Full time student (provide
proof) R50
Life
member
R1 500
Membership dues are payable in
South African Rand,
and can be paid as follows:
· Cheques drawn on a
South African Bank to be made out to The Economic Society of
South Africa
· A bank transfer or
deposit credited to the following account:
Economic Society of
SA
Nedbank, Pretoria branch
Account Number: 1604 086 173
Please post the application form
and cheque or bank deposit slip to:
The Economic Society of South
Africa
PO Box 929
PRETORIA
0001
OR: Fax application
form and deposit slip to:
Economic
Society
Fax (012) 654 5395
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