Join Assoc - SEIFSA

Association Application Form

"*" indicates required fields

Your Association*

Company Name*

T/A

Are you VAT registered?*

Yes

VAT Number*

Financial Year End

BBBEE Status

Company Website

Company Phone Number*

Company Email*

Are you MEIBC registered*

Yes

MEIBC Number*

Number of scheduled employees who are covered by the technical schedules in the Main Agreement*

Number of all other employees, i.e. non-scheduled (office, administrative, sales, clerical and management staff):*

Physical Address*

Postal City*

Province*

Post Postal Code*

Is Postal Same as Physical Address?*

Yes

Postal Address*

City*

Postal Province*

Postal Code*

Who is capturing this application form ?*

Name*

Surname*

Phone*

Your Email*

Job Title (Optional)

Managing Director/ Owner / Sole Proprietor*

MD Landline Phone Number*

CellphoneMD*

Email*

Association Representative (Person Attending Meetings)*

AR Landline Phone Number*

Cellphone Number*

Email*

Accounts*

Landline Phone Number*

Cellphone Number*

Email*

Human Resources*

Landline Phone Number*

Cellphone Number*

HREmail*

Marketing / Sales*

Marketing Landline Phone Number*

Cellphone Number*

HREmail*

Briefly describe the main activities, products, and services of your company*

Briefly describe why you would like to join this Association*

acknowledge*

You hereby acknowledge and accept that by completing this form and submitting it to the association, and on payment of the membership fees, you will be deemed to be a member of the association

Yes

Name

This field is for validation purposes and should be left unchanged.