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SESSA Secretariat P O Box 868 Ferndale, 2160 Tel: 011 789 1384 Fax: 011 789 1385 SESSA 37-484-NPO www.sessa.org.za SESSA Membership Application & Membership Renewal Form 2010 Please complete the sections below. Only Corporate members need to indicate appropriate Divisions. Once completed, fax to 086 680 7449 or email to email@example.com. All sections marked with * are compulsory! * Personal Details of Member Name of Organisation Trading name (if applicable) Salutation First Name Surname Bus Tel Bus Fax Cell phone number Email Postal Address/Physical City/Town Postcode Country * Additional Requirements Business Information Registration Number VAT Registration Number Trading as (if applicable) Regions of business Regions of intended business List full names of company directors or members : Rates Membership Type Rates Tick one Individual R 275 Student (non-voting) R 220 Corporate – note divisions on page 3 R 1500 NGO R 920 Government Agency / Utility R 1850 SESSA Member Application Version 1.01.01.2010 P1 SESSA Secretariat P O Box 868 Ferndale, 2160 Tel: 011 789 1384 Fax: 011 789 1385 SESSA 37-484-NPO www.sessa.org.za * SESSA Corporate Members to complete the Division section Tick ONE or SESSA Division TWO Solar Cooking Division (AFRECA) Solar Water Heating Division (SWHD) ** Photovoltaic Suppliers and Manufacturers Division (PVSM) Divisions: By indicating interest in one (preferably) or two (maximum) of these divisions, your organisation will become a member of these divisions. Half your corporate membership fee will be allocated to the division of your choice. If you choose to join one division, it will receive the full 50% of your membership fee. If you choose two divisions, each will receive 25% of your membership fee. Special requirements for membership application and renewal of Divisions including rates and terms will be communicated by the relevant Division. Division - Solar Water Heating (SWHD) Applicants for membership of the Solar Water heating Division of SESSA (SESSA SHWD) are required to sign and attach a copy of the SHWD Code of Conduct and Responsibility with their application form. All applications for membership are considered for ratification at SESSA’s month-end meetings. Successful applicants for SESSA SWHD membership will be so advised immediately following the month-end meetings and invoiced for the membership fees. In addition to the SESSA Corporate Membership fee, SWHD members pay R300 per month to the SWHD Development Fund, to promote the SWH industry for the benefit of all SWHD members. This may be paid as a once-off advance payment (with a 10% deduction for advance annual payment) or by monthly debit order. For SWHD queries only, please email Colin Bain firstname.lastname@example.org directly. * Membership Interest Categories Business Category Interest Business Type Photovoltaic Manufacturer Solar Water Heating ** Dealer/Distributor Renewable Energy Cooking Contractor/Installer Wind Energy Consulting Passive Design Importer Solar Thermal Research Energy Efficiency Utility Social Science Training Biomass Other - specify Bio Fuels Hydro Power Education Other - specify SESSA Member Application Version 1.01.01.2010 P2 SESSA Secretariat P O Box 868 Ferndale, 2160 Tel: 011 789 1384 Fax: 011 789 1385 SESSA 37-484-NPO www.sessa.org.za General Approval of membership and renewed membership applications are at the discretion of Council as guided by SESSA’s Constitution. A once-off administration fee of R300 is payable immediately and proof of payment should accompany your application form. (Banking details below) An invoice will be sent to you once this application has been approved at the month-end meeting. Communications will reach you in this regard detailing procedure. Note additional requirements for SWHD membership and renewal members including rates and terms. Banking details will appear on the invoice. Membership is considered pending until both approval has been granted by Council and the invoice has been paid. Hereafter it’s considered active. Signature Date Please complete and either fax to 086 680 7449 or email to email@example.com Please fax a copy of your bank deposit slip or transfer slip to 086 680 7449 with your application form. Bank: ABSA Bank Branch Code: 632005 Branch Name: Ferndale Account Number: 9145520235 SESSA Member Application Version 1.01.01.2010 P3
"SESSA Membership Application _ Membership Renewal Form 2010 "