SAIPPA Membership Application
Company/Organisation Name:
VAT Number:
Main Representative Name:
E-mail Address:
Mobile Phone:
Office Phone:
P O Box:
Select Membership Type:
SPONSOR/SUSTAINING MEMBER
- Annual Fee - R60 800
LARGE CORPORATE
-
Annual Fee - R38 790 (
200 + employees
)
MEDIUM CORPORATE
-
Annual Fee - R24 950 (
50 + employees
)
SMALL CORPORATE
-
Annual Fee - R12 500 (
less than 50 employees
)
ASSOCIATE/NPO'S
-
Annual Fee - R13 300 (
association/non-profit institutes
)
PROFESSIONALS
-
Annual Fee - R1 250 (
sole proprietor
)
The sizes of companies are as per the definitions used by the Department of Trade and Industry
Additional Representatives:
Name & Surname:
Youth (below 35 years):
Yes
No
Disabled:
Yes
No
Gender:
Mobile Number:
Email Address:
Skype (or similar facility) Username:
Add another Representative
Please indicate the following:
A. Number of years the Main Representative has been involved in the power industry?
B
.
Power technology or services currently offered by your Company, please indicate below.
i. IPP (If Yes, please provide the following)
Yes
No
If Yes to the above please state Name Plate Generation (MW)
If Yes to the above please state Type of Power Production Technology
ii. Service Provider
iii. Association
iv. Consultant
v. Professional
C. Other - please specify
D. What industry do you work for?
E. Holding company or partners?
Please choose the Working Groups you wish to join:
1. SSEG WORKING GROUP
2. EXPORT SALES WORKING GROUP
3. INTERNAL SALES WORKING GROUP
4. WHEELING WORKING GROUP
How did you get to know SAIPPA? - Please select one of the following:
1. NEWSPAPER
2. MAGAZINE
3. TELEVISION
4. CONFERENCE
5. FRIEND/ACQUAINTANCE
6. BUSINESS PARTNER
7. OTHER - PLEASE SPECIFY
Please add details from your choice above
Name & surname of person completing this form
Date
For more information or assistance, kindly contact the SAIPPA Secretariat on Tel: 011 - 061 5000, saippaservices@vdw.co.za
Need assistance with this form?