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ONLINE MEMBERSHIP REGISTRATION FORM

Complete the following registration form for membership:

Full name and title / Institution / company:
Postal address (students to give a permanent postal address):
Postal Code / Zip Code:
Tel:
Fax:
E-mail:
Cell:
Qualifications and experience:
I am a member of the following association(s):
I wish to apply for the following type of SAWMA membership :
Preference for format of SA Journal of Wildlife Research:
I will submit this application form to you by:
I will be paying one year’s membership fees by:

I will deposit the membership fees into the following bank account, and send the proof of payment to elma@mweb.co.za or fax it to (+27) 21 554 1297 or 086 672 9882 as notification of the deposit:

Bank: Standard Bank
Type of Account: Cheque Account
Account No: 270 805575
Branch: Tyger Manor Branch
Branch Code: 050410
Swift Address: SBZAZAJJ


Type the characters from the image and SUBMIT



   
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