Southern  Africa
Institute   of
Fundraising
FOR OFFICE USE ONLY
Receipt Number: _______________
Membership Number:
____________________
Date of Acceptance: _______________
Branch recommendation:
____________________
PO Box 1360,
SANLAMHOF, 7532
Tel/Fax: (021) 946-4110


APPLICATION FOR MEMBERSHIP

I wish to apply for Membership/Affiliation as: (tick where applicable)
Affiliate____ Associate Member_____ Regular Member____
(Fundraising volunteer) (1-3 years experience) (more than 3 years experience)

Personal and occupation details
Title (Mr/Mrs etc.):________________ Surname:____________________________
First Names:____________________________________________________________
Business Address:____________________ Home Address:________________________
__________________________________ ___________________________________
________________Postal Code:________ ________________Postal Code:_________

Tel (office) Fax E-mail Tel (home)
(         )__________ (        )__________ ____________________ (        )__________
Organisation/Company/Institute:____________________________________________
Fundraising Number (if applicable):___________________________________________
Registration Number: Association Not for Gain, Trust or other
(if applicable):________________________________
(See overleaf if employed by Fundraising company / consultancy / self-employed)
Position Title:____________________________ Period of Service:_______________
Are you a registered student studying a fundraising course?   Yes   /   No
Name of educational institution:____________________________________________

Fundraising profile

Present fundraising responsibilities:_____________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Fundraising experience:
Positions held Organisations Periods of Service
______________________ ______________________ ______________________
______________________ ______________________ ______________________
______________________ ______________________ ______________________
Nature/scope of experience: _____________________________________________
____________________________________________________________________
____________________________________________________________________
_____________________________________ (if space is limited, please attach CV)
___________________________ __________________

Signature of applicant

Date

Certification

I hereby* certify that:

a) my main remuneration is not derived from commission payments or a percentage of funds raised.

b)  I have read, understand and undertake to observe and abide by the code of Professional Ethics of the Institute.

Signature of applicant:___________________     Date:_______________
*please refer to the Code of Professional Ethics before proceeding.

Recommendation

(to be completed by the organisation where the applicant in an employee*)

I declare that the information submitted by the applicant is true and correct.

Signed:___________________________________(Director/Chairman/Trustee)

Name of Director/Chairman/Trustee:__________________________________________

Name of organisation:_____________________________________________________

Address:_______________________________________________________________

Telephone number: (_______)____________________  Date:______________________
*Self employed persons please complete the section below

Employee of Fundraising company/consultancy/self employed

(This section to be completed only if applicable)

a)  Name of business_______________________________  b) Self employed:  Yes / No

c)  Summary of main fundraising services offered:_________________________________

______________________________________________________________________

d)  Fee structure for fundraising activities (specified fee/commission/percentage):

______________________________________________________________________

e)  Organisations for which funds were raised in the past:
Organisation Contact Name Telephone number
______________________ ______________________ ______________________
______________________ ______________________ ______________________
______________________ ______________________ ______________________

Fees

Membership of SAIF is subject to:
Entrance Fee of: R 75.00 and Annual Membership fee of R 140.00

I hereby enclose a cheque for the amount of: _________ in respect of Entrance plus First Year Membership Fee.

Endorsement

(to be completed by SAIF branch executive)

We recommend that ______________________ be accepted as a member of SAIF _________

(name)

(branch)

Proposed by:_________________________membership number:____________________

Seconded by:________________________membership number:____________________

Date:__________