Online Membership Form | SAMMA

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Online Membership Form

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Step 1 of 4

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Corporate Information (If Applicable)
Name of Company
Main Business Activity
Physical Address
Street Address Address Line 2 City ZIP / Postal Code
Postal Address
Entity
Reg No
Phone
Fax
Email
Website
Twitter
In Existence Since
SARS Income Tax No
VAT Number

Applicant Information / Representative Information
Title
Name
First Last
Date of Birth

DD
MM
YYYY
ID No
Phone
Current Address
Street Address Address Line 2 City Postal Code
Employer
Position
If Self-Employed, Main Business Activity
Working In Industry Since
SARS Income Tax No

Personal Qualifications In Relation To Industry Association
Degrees, Diplomas
Work Experience
How Long?
Corporate: Alternative Representative
Title
Name
First Last
Date of Birth

DD
MM
YYYY
ID No
Phone
Current Address
Street Address Address Line 2 City Postal Code
Employer
Position
If Self-Employed, Main Business Activity
Working In Industry Since
SARS Income Tax No

Membership Sought
Membership
Only individuals or companies in operation for a minimum of 12 months qualify as full members.
Agreement
- I hereby confirm the authenticity if the information provided in this application form.