APPLICATION FOR MEMBERSHIP OF THE SAARSA CO-OPERATIVE

The entity as set out hereunder hereby makes application for membership of the South African Repairer and Salvage Association Co-operative. By completing this application, and upon acceptance, we agree to be bound by the constitution and rules of the Co-operative, and any amendments thereto.

Company Full Name*
I confirm that I am duly authorised to make this application on behalf of the company
Designation*
DETAILS OF APPLICANT:
Trading Name*
Registered Name*
Company Registration No:*
Physical Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Postal Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Telephone No.*
FAX No.
CELL No.
Contact Person Name*
First Last

APPLICATION FOR MEMBERSHIP OF THE SAARSA CO-OPERATIVE

DETAILS OF APPLICANT: