WHAT DOES IT COST? Annual membership fees for 2022 are: Professional R 450.00 Student R 370.00 Fellow R 450.00 Associate R 50.00 External R 450.00 International As above, in South African currency Late Payment fee of R30 will be charged after 28 February -oo0oo- Please answer the following questions: 1. What do you, as a prospective member of IMASA, expect from IMASA? 2. What do you have to offer IMASA? APPLICATION FOR MEMBERSHIP MrMrsMsDrProf Your Surname (required) Your Full First Names (required) Postal address Code Province Eastern CapeFree StateGautengKwazulu NatalLimpopoMpumalangaNorth West ProvinceNorthern CapeWestern Cape Country Tel (w) Tel (h) Fax Cell (w) Your Email (required) Date of Birth ID number Gender MaleFemale Race Asian/IndianBlackColouredWhite Academic Qualifications (Proof to be submitted) Date Institution Qualification Employment Record in Municipal Administration (Proof to be submitted) Employer Designation Period (From - To) Class of Membership Applied For: ProfessionalAssociateStudentSpecial DECLARATION I agree to abide by IMASA's Constitution and any code of conduct that may be adopted by it, as amended from time to time. Signature Date I attach hereto: Proof of qualifications and service record Membership fee: EFT in favour of IMASAPostal orderCopy of deposit slip