Application Form

MEMBERSHIP APPLICATION FORM

Step 1
Step 2
Step 3
Step 4

Company Information

Company Name

T/A

Physical Address

Tel + area code

Website

Postal Address

Postal Code

Company Information...the sequel

Vat No.

Is your company registered with the Bargaining Council?
Yes No

MEIBC Number (i.e Bargaining Council Number)

BBBEE Status

Membership

Commencement date of membership

Number of employees on the shopfloor

Number of other employees

Describe main activity and list product and services (in order of importance)

Type of Membership
First Member: Basic (R4 356.88) + PCL (R61.09) Second Member: Basic only (R3 343.93)

Accounts

Name

E-mail

Tel + area code

Association Representative

Name

E-mail

Tel + area code

Health and Safety Officer

Name

E-mail

Tel + area code

Human Resources / IR

Name

E-mail

Tel + area code

Managing Director

Name

E-mail

Tel + area code

Training / Skills Facilitator

Name

E-mail

Tel + area code

Procurement / Economics

Name

E-mail

Tel + area code

Markeitng / Sales

Name

E-mail

Tel + area code