APPLICATION FORM
FOR INDIVIDUAL MEMBERSHIP


(INDIVIDUAL MEMBERSHIP FEE (12 MONTHS) RENEWABLE
01 JANUARY 2014 MEMBERSHIP R1140 incl vat)


Nontobeko Mthembu
Tel:010 035 0033
Fax:086 596 0689
Email:nontobeko@strategicthinkinginstitute.co.za

223 Jan Smuts Avenue, Park Town North, Johannesburg

PLEASE COMPLETE THE FORM BELOW:


 I agree that the above information is correct

 

STI BANKING DETAILS

Bank:FNB (First National Bank)
Account Number:62368350824
Branch Code:250655

PLEASE FAX/E-MAIL THIS FORM AND PROOF OF PAYMENT TO: nontobeko@strategicthinkinginstitute.co.za