Application for Membership
If you/your company want(s) to become a member of WOESA, then please complete this form in full.
Company Name:
Trading Name:
Vat No.:
Physical Address:
Postal Address:
Phone:
Fax:
Cell:
Website:
Email:
Preferred Password:
Position in Company:
Line of Business:
CEO / Owner / Partner
Senior management / Director
Middle management
Junior management
Professional (private practice)
Sales Rep / Distributor
Other
Approximate turnover per annum
Less than R 50 000
R 50 000 – R 200 00
R 200 000 – R 1m
R 1m – R 5m
R 5m – R 20m
R 20m – R 200m
R 200m +
Education / Academic / Teaching
Government / Public Service
Exploration
Trading
Distribution
Gas
Retail
Liquid Fuel
Wholesaler
Electricity
Renewable Energy
Other
Type of Membership
Corporate Member
R25 000
Company Member (PDI's and SMME's)
10 000
Individual
R2 500
Individual Companies
R1 000
Professional Organisation Memberships (e.g. NAFCOC):
Banking Details
Account Name:
WOESA (Women in Oil and Energy SA)
Bank:
ABSA Bank Limited
Branch Name:
Rosebank
Account Number:
9215603541
Branch Code:
632005
Type of Account:
Current Account
Details:
First 5 digits of ID Number and initials and Surname
Copyright © WOESA 2006
