Membership application form

• Complete the application form and submit to the IMM Africa Association of Marketers either by
  fax: +27 (0) 11 628 8069 or email: membership@immassociation.co.za
  Or Simply just fill in the form below.
  
• Following confirmation of receipt and further information, you will be invoiced.
• Once confirmation of payment is received, a membership number will be issued.

STUDENT AND INDIVIDUAL MEMEBERS

Student Member Annual Fee: R240.00
Open to all marketing students currently enrolled at a higher education institution.
Current IMM GSM students automatically receive free membership

Are you a student at the IMM GSM? Yes No

If Yes, please state your Student Number:

Individual Member Annual fee: Annual Fee: R960.00
Open to IMM GSM graduates, past members of the IMM, marketing professionals
and marketing practitioners.

Please complete only Section A of this form.

CORPORATE MEMBERS

Small To Medium Enterprise (SME) Option AAnnual Fee: R5 000.00
Organisations with 2 - 50 employees. Includes 4 staff memberships*.
Additional membership at R400.00 per staff member

Small To Medium Enterprise (SME) Option B Annual Fee: R8 000.00
Organisations with 51 - 100 employees. Includes 6 staff memberships.
Additional membership at R800.00 per staff member

Medium-sized Business Annual Fee: R20 000.00
Organisations with 101 - 1000 employees. Includes 10 staff memberships.
Additional membership at R600.00 per staff member

Large-sized Business Annual Fee: R35 000.00
Organisations with 1000+ employees. Includes 15 staff memberships.
Additional membership at R750.00 per staff member

Please complete Section B of this form.

Membership Applicaion Form

Complete the application form and submit to the IMM Africa Association of Marketers. Following reciept of application form and further information, you will be invoiced accordingly. Once confirmation of payment is recieved, your membership number and card will be issued.

Please select membership category

STUDENT AND INDIVIDUAL MEMBERS Student Member Open to all marketing students currently enrolled at a higher education institution. Current IMM GSM students automatically recieve free membership. Are you a student at the IMM GSM?  YES    NO If Yes, please state your Student Number:    R240.00 Individual Member Open to IMM GSM graduates, past members of the IMM, marketing professionals and marketing practitioners. R960.00 Please complete Section A of this form. Annual fees are calculated on a monthly pro-rata basis in the first year of joining. Thereafter, annual fees are payable by 31 January each year.

SECTION A: STUDENT AND INDIVIDUAL MEMBERS. PERSONAL DETAILS
Title Prof      Dr      Mr      Mrs      Ms      Miss
Name :	Surname :
e-Mail :
ID/ Passport :
Telephone No Work: Fax:	Telephone No Home: Cell:
Postal Address: Postal Code	Physical Address:   Postal Code

CORPORATE MEMBERS Small To Medium Enterprise (SME) Option A Organisations with 2 - 50 employees. Includes 4 staff memberships*. R5 000.00 Small To Medium Enterprise (SME) Option B Organisations with 51 - 100 employees. Includes 6 staff memberships. R8 000.00 Medium-sized Business Organisations with 101 - 1000 employees. Includes 10 staff memberships. R20 000.00 Large-sized Business Organisations with 1000+ employees. Includes 15 staff memberships. R35 000.00 Please Complete Section B of this form

SECTION B: CORPORATE MEMBERS. COMPANY DETAILS

Company Name :

Postal Address: Code Physical Address:   Code VAT No : Contact Person : Surname : Name : e-Mail : Telephone No Work: Fax: Telephone No Home: Cell: