>> Labour Law
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| APPLICATION FORM | |||||||||
| APPLICANT'S DETAILS: | |||||||||
| First Name |
Surname |
Title | |||||||
| Postal Address | Code | ||||||||
| Physical Address | Code | ||||||||
| Identity Number |
Email Address |
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| Telephone Number | Cell Number | ||||||||
| SELECT PREFERRED OPTION: | |||||||||
| I wish to pay R85.00 each month by debit order on my bank account. | |||||||||
| Name of Bank | Branch | ||||||||
| Branch Code | Account Number | ||||||||
| Type of account: savings transmission cheque | |||||||||
| Date of preferred monthly deduction: 1st 15th 25th | |||||||||
| I enclose a cheque for R1020.00 being one year's membership fee. | |||||||||
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Signature: _________________________________ |
(Please note: Membership Rules apply) | ||||||||
Referred by: (if applicable)
(Admin/ Membership Queries: (021) 421 8631 / Telefax: (021) 425 0875; PO Box 8397, Roggebaai, 8012)