Ethiopian Professionals Association in Southern Africa (EthPASA) Membership Application
Instructions: Complete Section 1 – 6. The current (2019) membership fees are: R 200.00 (Student in Professional Membership), R500.00 (Non-student in Professional Membership), R 1000.00 (Community Membership), or R 1000.00 (Associate Membership); bank account details can be found at the bottom of the form. Email the completed form together with the appropriate proof of payment at
Bank: First National Bank (FNB), Branch: Hillcrest, Branch code: 250655, Account Type: Cheque
Account holder: Ethiopian Professionals, Account number: 62791116843, Reference: Full name
Never submit passwords through Google Forms.
This form was created inside of EthPASA.