Advertisement Application

Please complete the form in full for record purposes. Prices are for Banner adds that link to your website.

Advertisement Application

Member:    Non Member:    Have Website:    Want Quote on Website: 

Subscription for:              
Admission: R 25
One Year: R 300
Five Years: R 1200
Donation:

 Total:

Name

Company

E - mail address

Tel no (h) & (w)

I enclose payment for the above via:

Cheque   Postal Order  Bank Draft Internet

Please fax us a deposit slip as proof of payment into the Society's account: ABSA 01000870818 - Branch Code: 632005
I agree to abide by and comply with the constitution of the Society. Please make all payments payable to The South African Palm Society.
Fax Number: 27 (0)86 679 8045