Membership Application

Updated: 22 Nov 2000

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Gustav Klimt: Pallas Athena

You can nopw join SAPCA on-line. Kindly complete this Membership Application Form. When ready click on the SUBMIT button at the bottom.

	Surname First Name
	Address

Cheques must be made out to: SAPCA

and mailed with a completed copy of this page to:

The Treasurer, SAPCA c/o Dr J. Broodryk, PO Box xxx. Melville xxxx, South Africa

For electronical payments use these account details (and forward a copy to the Treasurer):

Bank:

Bank code & branch:

Account number:

Beneficiary (Receiver): SAPCA

Originator: Name of depositing person/organisation