Application for Membership

1 July 2016 - 30 June 2017

We invite the following companies to become members:

·  South African registered companies that provide Electronics, Electrical Engineering, Information Technology and Telecommunication products or services;

·  That are either South African manufacturers, software producers or service providers, or are a division or local subsidiary of an international company whose products or services are manufactured, assembled or provided in South Africa; and are currently exporting or believe that their products and services have export potential.

Turnover
ZAR Million / Joining Fee
(Once Off)
ZAR / Annual Subscriptions
ZAR / TOTAL
Joining & Sub. Fees
ZAR
<2 / 2 500 / 3 100 / 5 600
<5 / 2 950 / 4 850 / 7 800
<10 / 3 950 / 6 950 / 10 900
<25 / 5 350 / 12 600 / 17 950
<50 / 6 000 / 15 750 / 21 750
<100 / 8 650 / 21 450 / 30 100
<250 / 9 000 / 25 650 / 34 650
<500 / 10 250 / 35 850 / 46 100
<1000 / 11 650 / 53 500 / 65 150
<3000 / 15 250 / 67 850 / 83 100
>3000 / 16 750 / 78 750 / 95 500

·  Fees exclude VAT.

·  Annual subscriptions are on a pro rata basis for the financial year 1 July – 30 June.

…/Application Form

Company Name:
Primary Contact Person:
Designation:
Telephone:
Cellular Phone:
Facsimile:
Email:
Secondary Contact:
Designation:
Telephone:
Cellular Phone:
Facsimile:
Email:
Website:
Physical Address:
Postal Address:
Annual Turnover:
VAT Number:
Exporters Registration No: / (if known)
Are you an existing exporter? / Yes q No q

1.  Sector

(Tick as appropriate)

Information Technology q Telecommunications q

Electronics q Electrical / Power Engineering q

2.  Type of business

(Tick as appropriate)

Assembly q Manufacturer q Project Management q

Trading House q Design q Consulting q

Operate & Manage q Maintenance & Training q Software Dev & Integrationq Warehousing & Logistics q

3.  Are you a subsidiary of a multinational? Yes q No q

4.  Are you a subsidiary of a South African Group? Yes q No q

5.  Black Economic Empowerment Shareholding ______% or BBBEE rating ______

6.  Women Shareholding? ______%

7.  Small & Medium Export Classification:

§  Number of Employees:

<20 q <200 q <500 q <1000 q <5000 q >5000 q

§  Is your total asset value (excluding fixed property) <R15m? Yesq No q

8.  Estimated export revenue for the last financial year R______or estimated % ______

9.  Export Destination/s (Top 5)

Countries of export / Number of years exporting to these countries / Directly or via agents or distributors (please specify)

We hereby apply for membership of the SA Electrotechnical Export Council

Signed: / Date:
Designation: / Name:

Thank you for your application

Membership is subject to final approval by the SAEEC Board

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