Fill in membership application

Banking information:

Subscription to be deposited directly in Account name: ASSADPAM | Bank: Standard Bank | Stellenbosch Branch 20 Bird Street Stellenbosch 7600 | Branch Code: 050-610 | Account number: 01 543 8511

The completed application together with proof of payment to be e-mailed to Prof AP Johan Burger apjb [at] sun.ac.za

or faxed to 086 542 8180.

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Agreement *

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I acknowledge that the information on this application is true and correct to the best of my knowledge, and hereby authorize ASSADPAM to use this information to update its database and provide the member with relevant information as seen fit by ASSADPAM. I hereby certify that the above statements are true and correct to the best of my knowledge. I will notify ASSADPAM of any material changes in the statements provided on this form. It will be treated as confidential information.

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