Corporate Academic Member

Corporate Academic Member (Community Schemes managed by NAMA Full Members)

*

Name of Community Scheme

*Contact Person

*Landline (e.g. 0117171728)

*Cell No (e.g. 0827541621)

*

Name of Managing Agent

*Contact Person

*Email Address

*Landline (e.g. 0117171728)

*Cell No (e.g. 0827541621)

*

Number of units in the scheme

Invoice addressed to Please select the appropriate checkbox below, in order for the correct input fields to appear

To whom must the invoice be sent to for payment

Community Scheme

Managing Agent

*Name of Community Scheme

*Name of Managing Agent

*Care of (name of Managing Agent)

*Postal Address 1

*Postal Address 2

*Postal Address 3

*Suburb

*Province

*Postal Code

*VAT No

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

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

*Email

*Username

*Password

*Confirm Password

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