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SAIF Membership Application Form

1. Are you applying in your personal capacity or on behalf of a company? Personal Company

2.If applying on behalf of a company, how many employees?

3.Surname: 4. First Names:
5. Position: 6. Company:
7. Postal Address: 8. City:
9. State: 10. Code/Zip:
11. Country:
12. Telephone: 13. Fax:
14. e-mail:
15. Nature of Business:
16. I am applying for:

Type of MembershipPrices: 1999Check
Company Membership:
1 to 50 total employees R725
51 to 150 total employees R945-00
151 to 500 total employees R1,320-00
501 + total employees R1,880-00
Individual Membership:
Individual Membership R188-00
Optional IBF affiliation R195-00
Junior Membership R45-00
Retired Membership R88-00
Overseas Membership R187-00

14. Additional Comments:

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First Version: 98/01
Date of First Version: 30 November 1998
This Version: 99/01
Date of This Version: 31 January 1999

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