BASIC Membership

Member Information

Name of Applicant Company
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Field is required!
Name of CEO/Managing Director
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Field is required!
Trading Name
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Field is required!
Nature of Business
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Field is required!
Business Address
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Field is required!
Business Address Line 2
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Field is required!
Postal Code
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Field is required!
Has your business been trading for 5 years or more?
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Field is required!

References

Please supply details of two companies that can confirm the nature of your business.

Company Details (1)

Company Name
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Main Contact Name
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Telephone Number
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Email Address
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Field is required!

Company Details (2)

Company Name
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Field is required!
Main Contact Name
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Field is required!
Telephone Number
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Field is required!
Email Address
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Field is required!

Authorised Signatory

Authorised Signatory Full Name
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Date
Date
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Job Designation
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Field is required!

Correspondence & Financial Contact

Contact Name
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Field is required!
Email Address
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Field is required!
Job Designation
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Field is required!
Telephone Number
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Field is required!
By supplying naamsa with the above contact details, you undertake to have obtained the necessary consent and approval from your company to receive and process all membership related information and requests from naamsa. naamsa will use your email address to keep you informed on all relevant information about membership services.
Field is required!
Field is required!
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