Online Membership Application Form – Individual

Individual membership

Membership-Application-Form-INDIVIDUAL

I, the undersigned, hereby apply for membership of SAPTU.

TITLE *

INITIAL[S]: *

SURNAME: *

ID NUMBER: *

ADDRESS *

POSTAL ADDRESS (If different]:

TELEPHONE:

CELLPHONE: *

FAX:

E-MAIL: *

EMPLOYER: *

SAPTU will do everything reasonably within its means to ensure that any dispute is handled on behalf of its members in the
appropriate forum.

Your Membership can only be cancelled by a written notice of one calendar month.

ABSA – THE GROVE
Account nr: 1630160649
Branch Code: 632005

Your surname and initials, together with the number 100, must be used as a reference number on all deposits
and on the debit order

Checkboxes *

I, the undersigned, will arrange with my bank to transfer the monthly amount of R75.00 in to SAPTU’s bank account.

Date *

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