Membership Fee Calculator:

 

NO. OF OUTLETS

1

TOTAL RATE VAT INCL MONTH

R450.00

 

Complete your application form below:

Company Details:

Ownership of entity (required)

Name of registered entity (required)

Registration No. of legal entity (required)

Trading name of entity

Number of outlets

VAT No. of entity

National Credit Regulator (NCR) Details:

NCR Member
 Yes No

NCR registration number

Primary Branch Details:

Postal address of entity (required)

Postal code of entity (required)

Physical address of entity (required)

Address postal code (required)

Telephone number (required)

Mobile number (required)

Email address (required)

Contact Details:

Full Name (required)

Designation (required)

Telephone number (required)

Mobile number (required)

Email address (required)

Payment Details:

Electronic Transfer or Debit Order(required)

Please download, complete and upload the debit order form if this option is selected.

Upload debit order form