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Exporters Club - Western Cape Chapter


Types of Membership
    Corporate   Individual  
Fees per year:
Effective from date of signature through 31/07/2018
   R3450.00    R1990.00  
Seats per event:   2   1  
Select type:    
Number of Memberships*:        
           
*Corporate members may apply for mulitple memberships to gain additional seats at events

**NOTE** The annual m/ship fee does exclude the year end Dinner Dance function which is arranged as our year end function. This event is open for anyone to attend.

Application for Membership
Effective from date of signature through to 31st July 2018


Required fields are shown with a " * "
Corporate / Trading Name:*  
Vat No:  
Industry:  
Postal Address:  
Street Address:  
   
City:*  
State / Province / Region:  
Country:*   Post Code:
     
Contact Person:*  
Title / Position:  
Phone:*  
Fax:  
Email:*  
Confirm Email:*  
Who / What introduced you to the Club:  


To pay via direct deposit or EFT to our bank details are:

ABSA,
Account number: 12-9858-0604,
Branch Code 632005

Please fax or e-mail the transfer or deposit slip together with the application form to noreen@exportersclubwc.co.za or
021 852 1499 (fax)


  To pay via cheque, please make it payable to

“THE EXPORTERS CLUB WESTERN CAPE"

Please post it to:
PO Box 37822,
Valyland
7978

together with the application form.

Please indicate how you would like to receive your invoice *  
To whom should the invoice be made out to:  
By submitting this application, the applicant agrees to become members of the Exporters Club – Western Cape and agrees to be bound by the club constitution. Details of the ECWC Club Constitution are found on the website. www.exportersclubwc.co.za.
I have read and agree to all information herein:
Date:   DD /MM /YYYY

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