SACAC: Membership Application Form

SACAC: Membership Application Form - INSTITUTION

To apply for membership please complete the form below. Please note compulsory payment is required for first time applications. Invoices will be emailed subsequently.
Institutional Members
Universities, engineering societies and other corporate bodies or organisations, approved by the Council, which are active in advancing the Purpose of the Council and are not in the primary business of trading in this technology.

Corporate Members
Corporate bodies or companies, approved by the Council, which are in the business of using or trading in this technology for commercial purposes and which are active in advancing the Purpose of the Council.
SECTION 1 - Institution Information

Please complete in full.
Name of Institution*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
example@example.com
Organisation Contact No *
VAT Registration No
Main business activity
Website Address
Contact 1
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Contact 2
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Contact 3
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
SECTION 2 – Account Payment
MEMBERSHIP (Including VAT)*
prevnext( X )
Institution Membership
4,100.00ZAR

Alternate Institution MembershipThe alternate fee allows members to send a maximum of 3 delegates to all local SACAC workshops free of charge, reducing the administrative burden of arranging payment for each workshop attended.
8,600.00ZAR

Total

0.00ZAR
May we have permission to list your organisation as a SACAC member on the website?

YesNo
If you answered yes to the above, please email your company logo to the SACAC Secretariat - secretariat@sacac.org.za
Should be Empty:

SACAC: Membership Application Form - INSTITUTION

SECTION 1 - Institution Information

Contact 1

Contact 2

Contact 3

SECTION 2 – Account Payment