Southern African Society of Legal Historians
Application for Membership
________
(Year)
New membership / Renewal
(Please circle the applicable option)
Please complete the form and return it, together with your payment to: The Secretary, SA
Society of Legal Historians, School of Law, PO Box 392, Unisa, 0003, South Africa.
Surname:_________________________________________________________________
Name(s):__________________________________________________________________
Profession:________________________________________________________________
Address:
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
Country:___________________________________________________________________
Telephone number:__________________________________________________________
Facsimile number:___________________________________________________________
E-mail address:_____________________________________________________________
I include payment to the amount of R
/$
/€
being membership fees for________.
(Year)
I wish to pay by means of
Cheque
Electronic banking
Cheques should be made out to the SA Society of Legal Historians.
Members overseas must pay by swift code. Please use the reference code.
Swift code: Absaswift: absazajj
Bank details:
Account holder: SA Society of Legal Historians
Bank: Absa
Branch number: 632005
Account number: 1972 0187
Please indicate your particulars.
PLEASE NOTE THAT FUNDAMINA IS AN ACCREDITED JOURNAL. PUBLICATIONS BY
ACADEMIC PERSONNEL AT SOUTH AFRICAN UNIVERSITIES WILL RECEIVE
GOVERNMENT SUBSIDY.