Regional Service Providers

*List of Service Provider Categories (Regional Service Providers Only)Hold in Ctrl (control) on your keyboard, in order to select multiple categories You can select up to four (4) categories

*Other Service Provider Category Only when "Other" has been selected above

*Select a RegionThe NAMA regions in which you may become a member. Please select one or more options

Gauteng North – North of the Jukskei river, Pretoria, Limpopo, Mpumalanga, Northern North-West

Gauteng West – West of the N1 Freeway, Southern area of North-West

Gauteng East – East of the N1 Freeway

Western Cape and North Cape

Eastern Cape and border

KwaZulu-Natal

Free State

Membership fees to be paid according to each region selected. Please click here for membership fee information.

Company Details

*Registered Business name

*Trade Name of Business

*Company Registration number

*Company VAT No

*Website address

*Company Logo (Square Format, i.e. 1000 x 1000pixels)

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Upload logo here (JPEG or PNG format)

*Company Info In no more than 1000 words, tell us about your company

*Valid Regulatory Board Certificate / Proof of Accreditatione.g. Psira, Law Society of SA, Institute of Plumbing SA

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Upload document here (PDF / JPEG / PNG format)

*Company Profile

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Upload document here (PDF / JPEG / PNG format)

*CIPC Document

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*VAT Document

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Contact Details

*Primary Contact Name and surname

*Primary Landline (e.g. 0117171728)

*Primary Cell No (e.g. 0827541621)

*Primary Email address

Select options

All NAMA Communication (including Newsletters, Notice Boards, Events, etc.)

NAMA Newsletter ONLY

NAMA Events ONLY

Click to select one or more options
You can add only 2 additional person’s information here to receive your selection indicated.
Once your selection is made the information might take a while to appear on your screen to be completed.

All NAMA Communication - Contact DetailsTo be completed, should you prefer to receive all NAMA communication

Contact Person Name (1) All NAMA communication

Email Address (1) All NAMA Communication

Cell No (1) All NAMA Communication

Contact Person Name (2) All NAMA Communication

Email Address (2) All NAMA Communication

Cell No (2) All NAMA Communication

NAMA Newsletter ONLY - Contact DetailsTo be completed, should you prefer to receive NAMA newsletters ONLY

Contact Person Name (1) NAMA Newsletter ONLY

Email Address (1) NAMA Newsletter ONLY

Cell No (1) NAMA Newsletter ONLY

Contact Person Name (2) NAMA Newsletter ONLY

Email Address (2) NAMA Newsletter ONLY

Cell No (2) NAMA Newsletter ONLY

NAMA Events ONLY - Contact DetailsTo be completed, should you prefer to receive NAMA event notifications ONLY

Contact Person Name (1) NAMA Events ONLY

Email Address (1) NAMA Events ONLY

Cell No (1) NAMA Events ONLY

Contact Person Name (2) NAMA Events ONLY

Email Address (2) NAMA Events ONLY

Cell No (2) NAMA Events ONLY

Address Details

Physical Address

*Street Address 1 Address Details - Physical Address

*Street Address 2 Address Details - Physical Address

*Street Address 3 Address Details - Physical Address

*Suburb Address Details - Physical Address

*City Address Details - Physical Address

*Province Address Details - Physical Address

*Postal Code Address Details - Physical Address

Postal Address

*Postal Address 1 Address Details - Postal Address

*Postal Address 2 Address Details - Postal Address

*Postal Address 3 Address Details - Postal Address

*Suburb Address Details - Postal Address

*City Address Details - Postal Address

*Province Address Details - Postal Address

*Postal Code Address Details - Postal Address

Accounts Information

Creditor/Accounts Department

*Contact Person Accounts Information

*Email Address Accounts Information

*Landline (e.g. 0117171728) Accounts Information

*Payment OptionPlease select ONLY one option

Debit Order

Annual fee

Category	Per month and per region (debit order only)	Per annum
CORPORATE MEMBERS (MANAGING AGENTS)
Category 1 (managing 1-50 schemes)	R630*	R7500*
Category 2 (managing 51-100 schemes)	R740*	R8850*
Category 3 (managing 101+ schemes)	R790*	R9475*
REGIONAL SERVICE PROVIDERS
	R670*	R8000*
NATIONAL SERVICE PROVIDERS
	Prospectus and cost can be provided on request. Please send an email to gm@nama.org.za for more information.
COMMUNITY SCHEME MEMBERS (ONLY FOR COMMUNITY SCHEMES MANAGED BY NAMA MANAGING AGENTS)
Category 1 (2-50 units in the scheme)		R1725*
Category 2 (51-100 units in the scheme)		R3450*
Category 3 (101-200 units in the scheme)		R4500*
Category 4 (201+ units in the scheme)		R4900*

*VAT Included

Please complete the debit order form

*Completed Debit Order Form

Upload

Upload Form

*Electronic Invoices & statements

I agree to receive my invoices and statements electronically

ReferencesPlease provide a list of contactable references, to whom you have provided a service.

Reference 1

*Company Name Reference 1

*Contact Person Reference 1

*Contact No Reference 1

*Email Address Reference 1

*Short Description of Service Provided Reference 1

Reference 2

*Company Name Reference 2

*Contact Person Reference 2

*Email Address Reference 2

*Short Description of Service Provided Reference 2

* Acceptance of NAMA Terms and Conditions

I have read and understand the NAMA TERMS AND CONDITIONS as set out in the document provided.

Click here to view Terms and Conditions.

This application form was completed by

*Name & Surname This application form was completed by

*Position in the Company This application form was completed by

*Email Address This application form was completed by

*Contact Number This application form was completed by

Online Profile/Login Details Details can be changed after account approval

*Email

*Username

*Password

*Confirm Password

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