Association Application Form "*" indicates required fields Your Association*Company Name* T/A Are you VAT registered?* Yes No VAT Number* Financial Year EndJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberBBBEE StatusBEE Level 1BEE Level 2BEE Level 3BEE Level 4BEE Level 5BEE Level 6BEE Level 7BEE Level 8Non-complianceCompany Website Company Phone Number*Company Email* Are you MEIBC registered* Yes No MEIBC Number* Number of scheduled employees who are covered by the technical schedules in the Main Agreement*Number of all other employees, i.e. non-scheduled (office, administrative, sales, clerical and management staff):*Physical Address* Postal City* Province*ProvinceEastern CapeFree StateGautengKwaZulu-NatalLimpopoMpumalangaNorthern CapeNorth WestWestern CapePost Postal Code* Is Postal Same as Physical Address?* Yes No Postal Address* City* Postal Province*ProvinceEastern CapeFree StateGautengKwaZulu-NatalLimpopoMpumalangaNorthern CapeNorth WestWestern CapePostal Code* Managing Director/ Owner / Sole Proprietor* First Last MD Landline Phone Number*CellphoneMD*Email* Association Representative (Person Attending Meetings)* First Last AR Landline Phone Number*Cellphone Number*Email* Accounts* First Last Landline Phone Number*Cellphone Number*Email* Human Resources* First Last Landline Phone Number*Cellphone Number*HREmail* Marketing / Sales* First Last Marketing Landline Phone Number*Cellphone Number*HREmail* Briefly describe the main activities, products, and services of your company*Briefly describe why you would like to join this Association*acknowledge*You hereby acknowledge and accept that by completing this form and submitting it to the association, and on payment of the membership fees, you will be deemed to be a member of the association Yes NameThis field is for validation purposes and should be left unchanged.
