Membership Checkout - Africa Scotland Business Network

Membership Level change

You have selected the Sole Proprietor membership level.

1 Employee / Entrepreneur

The price for membership is R 2,200.00 per Year.

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Username

Password

Confirm Password

E-mail Address

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Full Name LEAVE THIS BLANK

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Company Name

Direct Contact Person

Secondary Contact Person

Secondary Contact Position

Direct Contact Cell Phone

Direct Contact Email

Date of Birth

Physical Address HQ

Billing Address ( if different from above )

Secondary Office Locations

Company Registration Number

VAT Number

Company Website

What are you hoping to gain from your membership?

NOTE: if changing a subscription it may take a minute or two to reflect. Please also login to your PayFast account to ensure the old subscription is cancelled.

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Membership Level change

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