PRINT OUT THIS PAGE AND POST OR FAX THE COMPLETED FORM WITH PAYMENT TO US

 
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
 


 H O M E  P A G E  



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