South African Association for Public Administration and Management (SAAPAM) Registration Number 039-162 NPO Membership Application ------ Please complete, print and fax to MR JN MOLEPO, (012) 799 9042 -----Membership categories and annual subscription fees payable before/on 30 April: Type Amount Member R350-00 Student Member R150-00 Corporate Member (5-9 members) R1 000-00 Institutional Member (11+ members) R5 000-00 Associate Members R400-00 International Member US $100-00 International Corporate Member (5-9 members) US $550-00 International Institutional Member (11+ members) US $2 750-00 Honorary Member Please complete the following: Title Surname First names ID Number Postal Address Telephone Cellular Fax E-mail Employer Department Position Qualification Public Administration and Specific areas Management Theory of interest Policy Analysis and Management Public Administration and Management History Organisational Development Strategic Management Project Management Human Resource Management Financial Management Information Management International Management Intergovernmental Relations Provincial Government Local Government Development Management Others (please specify) Signature of Application Date Subscription deposited directly in Standard Bank Cheque Account Number 012580015, Hatfield Branch Code Number 01-15-45-15. Completed application and proof of payment faxed to +27 12 382 9042 or mailed to SAAPAM, PO Box 14257, Hatfield 0028, South Africa. For additional information please contact Mr John Molepo at (012) 382 9769 or SAAPAM@tut.ac.za. Membership Number (for official use only)