MEMBERSHIP FORM

Title

First Name

Last Name

Company / Organisation

Job title / Position

Email Address

Alternative e-mail address

(optional)

Work telephone number

Cell number

(optional)

Work address

Please provide street address, city/town, postal code, province, and country

Type of membership

Individual (R500)

Student (R200) *proof of student registration may be requested

Organisation 1 (4 or more staff memberships = 20% group discount)

Organisation 2 (10 or more staff memberships = 40% group discount)

Organisations - please indicate number of staff joining as part of your group

We will provide you with a combined invoice once all members of your group have completed an online form

Have you read and commited to the IAP2 CORE VALUES and CODE OF ETHICS

Yes

PAYMENT INSTRUCTIONS

Online and credit card payments can be made via the Membership Information page.

Do you require an invoice?

Yes

Click the button below to submit your membership form