APPLICATION FOR MEMBERSHIP Full Name of business applying for membership Name of Directors, Members, Partners, Principal, Proprietor State whether a: Company / Co-operative / Partnership / Sole Proprieter / N.G.O. Name of branches and/or wholly owned subsidiary companies to be included under this membership: Description of Business/Industry Sector: its main activity/activities and products/services: Total number of employees: Company Reg Number Date Business Established Vat Registration Number Trade Name (if different from the above): Your Email (required) Your Tel/Cell (required) Your Date of Birth (required) Street Address: Postal Address: How were you introduced to SACCOB? Method of payment: Electronic Bank Transfer / Cheque / Credit Card SACCOB BANK DETAILS: ACCOUNT NAME : THE CHRISTIAN COALITION FIRST NATIONAL BANK - DURBAN NORTH - BROADWAY ACCOUNT NUMBERS: - MONEY MARKET - 62255778048 - CURRENT ACCOUNT - 62811063619 REFERENCE : NAME / COMPANY / CHURCH / INDIVIDUAL I/We apply to be admitted as a member of the South African Chamber of Business. I declare that I have the authority to act on behalf of and to bind the applicant to the Rules of SACCOB in operation during the term of membership. Such binding includes the undertaking of the applicant to pay the annual subscription fee, as determined by SACCOB from time to time, before the end of the joining date. I acknowledge that: The applicant will be liable for the payment of non-refundable Enrolment Fee at the time of application. Invoices for subscriptions for the ensuing year will be povided before the 15th of the month on your anniversary. A MEMBER WISHING TO RESIGN FROM SACCOB MUST DO SO IN WRITING BEFORE YOUR ANNIVERSARY DATE YEAR, FAILING WHICH THE MEMBER WILL BE LIABLE FOR PAYMENT OF THE SUBSCRIPTION FOR THE ENSURING YEAR. Members will be reminded of the condition above no later than 15th of the month of your anniversary. A MEMBER RESIGNING DURING THE COURSE OF A YEAR WILL NOT RECEIVE ANY REFUND OF SUBSCRIPTIONS PAID, NOR WILL BE ABSOLVED FROM THE PAYMENT OF ANNUAL FEE IN FULL. Annual subscriptions may also be paid by DEBIT ORDER, a facility for which SACCOB will charge an administration fee to cover the cost of this process. Copies of SACCOB'S Rules have been provided and these have been read. (They may also be accessed at www.saccob.co.za) The annual subscription fee is due on every anniversary of you joining SACCOB. NAME: SIGNED: DATE: Subject Your Message