SACMAF Membership Application Form

S A COUNTRY MUSIC ASSOCIATION & ARTIST FOUNDATION Membership Application

To apply for membership please complete all questions.
Name*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
example@example.com
Cellular Number*
Work Number
Billing Adress

Use the e-mail address above.
Membership Type - Tick applicable box
prevnext( X )
1 Year MembershipFULL TIME ARTIST ONCE-OFF PAYMENT
1,400.00ZAR



1 year MembershipPART TIME ARTIST ONCE-OFF PAYMENT
1,450.00ZAR



1 Year Membership full time artist6x Monthly payment R1400/6 = R234.00
234.00ZAR



1 Year Membership part time artist6x Monthly payment R1450/6 = R240
240.00ZAR



1 Year Family Package (Non-Artists and Artists) Once-off PaymentR2500 two adults, 2 Children inclusive, under 12-16 FREE 6x Monthly payment R2500/6= R416 pm
2,500.00ZAR



1 Year Family Package (Non-Artists and Artists) R2500 12x Monthly payment R2500/12 = R208.00 pm
208.00ZAR
Membership Benefits
*T's & C's Apply
BANKING DETAILS: SA Country Music Association, FNB Gold Business Cheque Acc. Nr. 62722236107 Bank Code 250655, Reference Your Name/member
Please send proof of payment to sacma1406@gmail.com
Terms & Conditions
I accept and agree to be bound by the Constitution of the S A COUNTRY MUSIC ASSOCIATION / FOUNDATION (SACMAF), and acknowledge that any incorrect statement on this application form may invalidate this application or may nullify any election to membership. I acknowledge that membership may not be cancelled within the selected period of agreed installment payments. Should the membership be cancelled during the payment cycle, the full outstanding amount becomes payable.
Date of Signature*

MonthDayYear
Date
Signature*

Powered by Jotform SignClear
Should be Empty:

S A COUNTRY MUSIC ASSOCIATION & ARTIST FOUNDATION Membership Application