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MEMBERSHIP APPLICATION FORM - PDF

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MEMBERSHIP APPLICATION FORM

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									     The Arbitration Foundation of Southern Africa




MEMBERSHIP APPLICATION FORM




                                            For office use only




                                          NAME OF APPLICANT



                                       DATE OF APPLICATION



                                        DATE OF PROCESSING



                                  SIGNATURE OF PROCESSOR
                                                                                 1



         AFSA MEMBERSHIP APPLICATION FORM
(Where there is not enough space, please attach a signed schedule – delete and
                         fill in as the sense indicates)


     APPLICANT

1.   Full name of individual/company/organisation:



     Nominated representative (if Professional/Corporate/
     Collective membership)




     Nature of business:

     Street address:

                                         Postal code:

     Postal address:

                                         Postal code:

     Telephone number:            code (      )

     Facsimile number:            code (      )

     Docex number:                        City:

     E-mail address:


2.   TYPE OF MEMBERSHIP APPLIED FOR:
     (Refer to Annexure 1)

     Professional*                                Corporate**
     Individual                                   Collective
     Academic***

     *      In case of a partnership or professional company, how many
            partners/directors are there? ___________
     **     Please attach your last annual report giving an indication of the size
            of your enterprise/group and the range of its activities.
     ***    I confirm that I am a teacher/student at a university or technikon
            or other institution recognised by AFSA for this purpose. I accept
                                                                           2


            that my status will be subject to review should my circumstances
            change. (In the case of a student, please attach proof of
            registration).




3.   OTHER RELATIVE INFORMATION:

     3.1    Additional addresses to which AFSA mail is to be sent
            (attach schedule of addresses)




      3.2    Name of an alternative person to represent the
             firm/company/organisation in AFSA



                                      Postal code:


4.   SUBSCRIPTION:

     My/our cheque for R________ is enclosed (Refer to
     Annexure 1)

     I/We apply for membership of AFSA on the basis of the
     aforegoing information.


     SIGNATURE:

     For and on behalf of                                         (applicant)

     CAPACITY:

     DATE:
                                                                       3




                                                               ANNEXURE 1



               CLASSES OF MEMBERSHIP
(Please note that annual membership subscription fees
quoted exclude VAT)

PROFESSIONAL MEMBERSHIP

A category of membership intended for individuals, partnerships
and incorporated professional practices who would be called upon to
advise or practise one or more forms of dispute resolution and who
therefore need to be kept up to date with developments, not only
for their own benefit but for the benefit of those whom they serve,
whether as advisors, assistants or as third party neutrals.

Annual subscriptions
Sole practitioners                R 399,00 (incl.VAT) p.a.
2 – 25 partners/directors         R 399,00 per partner/director p.a.
26 or more partners/directors     R11 400,00 (incl. VAT) p.a.

CORPORATE MEMBERSHIP

A category of membership intended for corporate entities who, by
their nature or their size, inevitably become involved in disputes.
With an emphasis on the need to save time and money, their legal
representatives must have a proper understanding of the range of
dispute resolution mechanisms available and how they can be
applied.

Annual subscriptions
0 – 10 employees                  R 1 710,00   (incl.   VAT)   p.a.
11 – 20 employees                 R 3 990,00   (incl.   VAT)   p.a.
21 – 50 employees                 R 7 980,00   (incl.   VAT)   p.a.
51 and more employees             R11 400,00   (incl.   VAT)   p.a.

An additional charge of R399,00 (incl. VAT) for each additional
branch office to which mail is to be sent.

INDIVIDUAL MEMBERSHIP

This category applies to individuals at professional firms or
businesses that are not Professional or Corporate members of AFSA,
or who work in government, parastatal or other organisations or are
                                                                        4



members of organisations and associations that are Collective
members or a Founding member of AFSA.

Annual subscriptions
R399,00 (incl. VAT) p.a.

ACADEMIC MEMBERSHIP

Available to employees and students, not in private practice, at any
tertiary institution.

Annual subscriptions
R285,00 (incl. VAT) p.a.

COLLECTIVE MEMBERSHIP

A membership category designed for associations and organisations
which represent common interests of parties and who need to
disseminate information about dispute resolution processes and
facilities to their members.        Members of associations or
organisations that are collective members must themselves become
members of AFSA to receive full benefits of other forms of
membership.

Annual subscriptions
R1 140,00 (incl. VAT) p.a.

AFFILIATE MEMBERSHIP

A collegial form of membership which may be granted to kindred
organisations at no fee.

HONORARY MEMBERSHIP

To enable AFSA to honour public figures and others who render
distinguished service to the cause of dispute resolution.

NOTE:      Membership enquiries:      Amanda Bougardt at 011-320 0600
           Subscription enquiries:    Veni Surajlall at 011-320 0600

                                   AFSA
                            Docex 143 Randburg

                       P O Box 653007 Benmore 2010

                            Tel: 011 320 0600
                            Fax: 011 320 0533
                         E-mail: afsa@mweb.co.za

								
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