Forms

MEMBERSHIP APPLICATION FORM/ LEDE AANSOEK VORM

Membership is open to all business people engaged in or carrying on a business or profession associated with trade, commerce or industry in Mossel Bay

Business Name│ Besigheids naam

Trading Name│ Handeldrywend As

Postal Address│ Posadres
Volle posadres en kode │ Full postal address and code

Business Address │Besigheidsadres

Telephone │ Telefoon
Cellphone or landline

Fax│ Fax

E-mail│ E-pos

Nature of business│ Aard van besigheid

No. of Employees│ Aantal Werknemers

Rates per Year│ Kostes per Jaar
Please choose Applicable│Kies asb die relevante getal Joining fee of R182-00 applicable. Aansluitingsfooi van R182-00 geld.

Category of Business | Kategorie van Besigheid Please indicate under which category on the website your business should be listed eg Plumber/Advertising etc. See "select category" under "Find a Business".
Dui asb aan onder watter kategorie u besigheid op die webwerf gelys moet word. Sien "select a category" onder die "Find a Business" blad.

Category|Kategorie

Authorised Representative│ Gemagtigde Verteenwoordiger

Method of Payment│ Betaalmetode

Date│ Datum

Bank Detail│ Bank Besonderhede Bank: Nedbank Mossel Bay
Account Name│Rekening Naam: Mossel Bay Business Chamber
Account Number│ Rekening Nommer: 1689035676
Branch Code│ Tak Kode: 16890500

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