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 Membership
APPLICATION FOR MEMBERSHIP FOR 2010

Dear Colleagues

It's that time of the year again when you should renew your SASOP membership. You can download the membership forms by clicking here. Please complete the membership form online (below) or download it and fax the form with proof of payment to
Rika on 086 648 5094

The membership fees for 2010 are as follows:

MEMBERSHIP

MEMBERSHIP FEES: YEARLY SUBSCRIPTION
HONORARY MEMBERS  R   00-00
LIFELONG MEMBERS R   00-00
PRIVATE PRACTICE SECTOR  R1,200-00
FULL TIME PUBLIC SECTOR  R 800-00
ASSOCIATE MEMBERS  R 800-00
REGISTRARS – POST& PRE PRIMARY  R 200-00


Accounts are payable by:

  1. Internet transfer into the South African Society of Psychiatrists Bank Account.   Kindly email
    ( sasop@global.co.za ) or fax proof of payment to 086 648 5094
  2. Direct deposit into the South African Society of Psychiatrists Bank Account.
    (Please make sure to fax your deposit slip to the office if you choose this method to 086 648 5094
  3. Sending a cheque to the South African Society of Psychiatrist's Office by post to,
    P O Box 30252, Wonderboompoort, 0033.
The Account:

Name:                          South African Society of Psychiatrists (SASOP)
Bank:                           Standard Bank
Account Number:        072053690
Branch:                        Blue Route Tokai
Branch Code:               025609
To:
Title:
Surname:
Names:
ID or Date of Birth:
Nationality:
Spouse Name:
Specific Field of Interest in Psychiatry:
Hobbies:
Practice Number:
HPCSA Number:
Post Box:
Town:
Postal Code:
Physical Address of Practice:
Town:
Postal Code:
Practice Telephone Number:
Fax Number:
Cell Number:
Home Telephone Number:
Pager Number:
E-mail:

Please make sure that your e-mail
address is correct.
Psychiatrists:
General Practitioner/Medical Officer:
Psychiatric Registrar:
End date of Registrarship:
Mainly Private Practice:
Mainly Public Sector Practice:
Private Hospital where working:
Public Hospital where working:
General Comments:
Anti-spam:

**Sum of 10 + 1 ?