Pay Membership Fees: Online Credit Card Payment

Please complete the form below to pay your membership fees by secure online credit card transaction.

Personal Details

Membership No.:		Title:
First Name:		Last Name:
Cellphone:		Telephone (B):
Fax:		Email:
Correspondence Address: (incl postal code):
Please advise if your account should be made out to you personally or to your firm/organisation:
Select Private Firm / Organisation

Select appropriate category:	Amount Payable
Select Professional Member Member Institution Member Custodian Member Honorary Life Membership Retired Membership Retired Professional Membership Consultant Student Member Post Graduate Students (for first year after graduation)

Firm / Organisation Details

Name of firm/organisation:

VAT Number:

Correspondence Address: (incl postal code):

Payment Details

I, the undersigned, do hereby authorize Turners Conferences in their capacity as SAAFoST Secretariat to debit my credit Card for the following amount: (please fax a copy of the front and back of your credit card to Turners)

TOTAL: (ZAR)
Credit Card Type:	Select Mastercard American Express Visa Diners
Credit Card Number:
Cardholders Name On Card:
Expiry Date:
Issue Number / CVC Code: 3 Digit no on reverse side (where applicable)

Type this number into the box alongside: