Tel Number: Membership and Admin: (021) 421 8631

>>  Applications by Fax

To join the Labour Protect Trade Union, simply complete the following details below.  (Once the first payment of R85.00 is deducted off your specified account, we will forward to you your personalized Premier Membership Card.)  We look forward to have you as one of our many satisfied Members...

Referred by (if applicable): 

MEMBERSHIP APPLICATION FORM:
PERSONAL DETAILS
First Name*    Surname    Title
Postal Address    Postal Code
Identity Number*    Email Address
Telephone Number   Cell Phone Number
 

DEBIT ORDER DETAILS
I wish R85.00 to be deducted each month by debit order on my bank account.  (I will notify the Labour Protect Trade Union in writing should I wish to cancel this instruction and/or cancel my Membership.)
Date of Preferred Deduction: *        1st 15th 25th
Name of Bank    Branch
Branch Code:*   Account Number       
Type of Account *            Savings   Transmission     Cheque Account
FREE: In addition to joining the Labour Protect Trade Union, would you like to join the registered trade union "Workers Against Regression" for extra workplace protection