Preliminary Membership Application

By submitting this form, I state that I am duly authorised by the applicant company and undertake that at all times, the applicant company would subscribe to the 'Code of Ethics' and I declare myself familiar with the Code.I further declare that as the duly authorised representative of the applicant company, that the company is financially sound and that the information given by me in this application is to the best of my knowledge and belief accurate and complete.As the duly authorised representative of the applicant company, I agree and understand that should this application be unsuccessful for any reason, an administration fee of R3,500 excluding VAT would be deducted from the membership fees paid to FASA and the balance refunded to the applicant company. It is to be noted that the once-off legal fee paid by the applicant company (if applicable) is not refundable. The Franchise Association of South Africa will not pay interest on any membership or any other fees paid by an applicant or existing member.As the duly authorised representative of the applicant company I agree and understand that membership of the Franchise Association of South Africa, once granted, continues annually unless the member company informs the Franchise Association of South Africa in writing, during the month of October of its intention to cancel its membership for the ensuing year. Should the Franchise Association of South Africa not receive a cancellation notification in writing during the month of October a membership invoice would be raised for the membership fees of the ensuing year and as the duly authorised representative of the applicant I agree and accept to abide by this membership policy.I, the undersigned, who is a duly authorised representative of the applicant, acknowledge that the Franchise Association of South Africa (FASA) or any of its agents, financial institutions or credit bureau may conduct a credit check and exchange of such information on the applicant company for purposes of assessing the company as a potential member of FASA.I understand that FASA membership includes a free mediation service. I agree to consider the arbitration process in the event the mediation fails.As a member of the Associaton, your franchisees automatically become members, therefore we request that you agree to supply us with a list of your franchisees contact information in order to receive industry information, invites to events, conferences, workshops, awards etc. and certifications.I hereby accept as the duly authorised representative of the applicant/member company that the Association may inform the franchisees belonging to my franchise should my franchise company's membership status change i.e. lapse or is cancelled.