Before completing the form, please read the list and explanation of membership categories and subscription rates. Your application will be acknowledged within 5 working days. An invoice will be sent to you by post.

IASA is able to receive payment online via PayPal. A prerequisite for members who would like to make use of the PayPal option is to send their eMail addresses to the IASA Treasurer, Anke Leenings.

For more information about this form of payment: https://www.paypal.com/

MEMBERSHIP APPLICATION FORM

I wish/my institution wishes to join IASA as a:

I wish/my institution wishes to pay for a period of:

Individual Membership

Name:

Surname:

Institutional Membership

Name of Organisation

Name of contact person:

Surname of contact person:

Postal address:

Address

City
Country
if other
Code

Street address (if different from Postal Address):

Address

City
Country
if other
Code

Phone:

Country Code
City Code
Phone Number

Fax:

Country Code
City Code
Fax Number

e-mail:

Repeat e-mail:

Reason for joining IASA
(Institutions should provide brief details of their size, scope and purpose):

Your application will be sent to the IASA Secretary-General and Treasurer and will be acknowledged within 5 working days.

Alternatively, mail or fax your application to:

Secretary-General: Ilse Assmann
Media Libraries
South African Broadcasting Corporation
PO Box 931, 2006 Auckland Park, South Africa

Phone: +27 11 714 4041
Fax: +27 11 714 4419
e-mail: assmanni@sabc.co.za

An invoice will be sent upon your application confirmation.

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