SACPRIF Chartered Membership Subscription Form
Title: e.g. Mr, Mrs, Ms, Sir etc.
First Name & Initials: e.g. Henry P.J
(for Chartered Roll and chartered Membership Certificate)
Surname: e.g. McDonald
Email: e.g. henry@email.com
(for subscription confirmation)
House Name: e.g. Serenity
OR Flat No. & Name: e.g. 25, Oude Molen Heights
Street Address: e.g. 1,Bowood Rd
Suburb and City e.g. Claremont, Cape Town
Country e.g. South Africa

 

Corporate Membership

Before selecting your corporate membership type, please check the latest Exchange Rate, and perform the necessary conversions using this website: www.xe.com.

Select Corporate Membership Type Below
Platinum ZAR100,000 – 1,000,000 or more Rand Value:
Gold ZAR10,000 – 99,000 Rand Value:
Silver ZARR5,000 – 9,900 Rand Value:

 

Private Membership

Before selecting your private membership type, please check the latest Exchange Rate, and perform the necessary conversions using this website: www.xe.com.

Select Corporate Membership Type Below
Platinum ZAR100,000 – 1,000,000 or more Rand Value:
Gold ZAR10,000 – 99,000 Rand Value:
Silver ZARR5,000 – 9,900 Rand Value:

 

Payment Details

I have made my donation via

Internet Transfer

Reference:
 Cheque via Post
SACPRIF Banking details Below:

Name of Bank: First National Bank Address: Vineyard Rd. Claremont,
South Africa, 7708
Branch Number: 204209
Account Name: SACPRIF
Account Type: Business Cheque Account
Account Number: 62176622621 Reference: Your surname (as on Membership Subscription)

Please fax confirmation to:
(+27) 086 603 4349
or email to: info@sacprif.org

 Please make cheques out to SACPRIF
and post to:The Treasurer
SACPRIF
4 Violet Rd
Claremont 7708
South Africa