Membership

To register as a member of IAIAsa, please complete and print the online form and fax to the secretariat together with proof of payment (Banking details are given below).
Alternatively, complete and print this form and mail to the secretariat together with your cheque (Payable to IAIAsa).
Please note that information will only be processed once proof of payment has been received.

Once your details have been processed by the secretariat, you will receive the newsletter and branch information directly.

Membership is valid for ONE year.

Bank Details:

Account no: 072507756
Standard Bank
Claremont
Branch Code: 025109

After completing the form - click on the "Print View" Button to mail/fax your application
Please provide one valid contact number
Title *
Name *		Surname *
Telephone (W)		Cell Number
Password *		Fax Number
Address 1 *
Address 2
Company *
Email Address *
Professional Affiliation		Sector *
VAT Number		City *
Interest Group A *		Postal Code *
Interest Group B *		Country *
Membership	Individual (R450 incl. VAT)	Student (R175 incl. VAT)

* Indicates required fields. Please ensure that these fields are filled before printing.