EEASA MEMBERSHIP FORM

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

EEASA membership is open to every individual or organisation interested in environmental education, Education for Sustainable Development and general capacity building in the field of environment and sustainability. Complete the application form and submit online and send your proof of payment to eeasa@eeasa.org.za. Once proof of payment has been received a membership certificate will be sent to you.

Date

YYYY

Title *

Mrs

Miss

Prof

Other:

Name *

Surname *

Organisation *

Postal Address *

Country *

Mobile Contact Number *

E-mail Address *

EEASA Annual Membership Fees:

Below is the cost of membership fees. Please tick the appropriate block.
EEASA will not take responsibility for deposits made without receiving a copy of the deposit slip and membership application form. You may pay your membership fee by EFTor deposit cash/cheque directly into the account below. Fees are payable in South African Rands only.

Please tick which membership fee you are registering for (please note due to the pandemic these are costs for this year only) *

Individual - R275 (please note due to the unfortunate pandemic the membership fees have been reduced)

Organisation : Affiliates (Non Profit)e.g. Libraries, Universities - R1050 (register up to 5 members)

If you registered for the organisation option (R1050) above please confirm the 5 members you would like to register. (full name and surname)

Please deposit money using the banking details below and email your proof of payment to eeasa@eeasa.org.za

I confirm that the above details are correct to the best of my knowledge

Clear selection

Please note: if your contact details change, please inform the secretariat at your earliest convenience. eeasa@eeasa.org.za

Please remember to email your proof of payment to eeasa@eeasa.org.za

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms