Application Form for HERA Membership
(printout from HERA website)
FAX to 09 262 2856

 

We wish to apply for

** Ordinary / Associate / Affiliate

membership of HERA. We agree to abide by the rules of the Association and to pay an annual subscription where applicable.
** Delete whichever is not applicable

 

Name of Organisation:

Postal Address:

 

 

Street Address:

 

 

Telephone:

Fax:

Email:

Brief description of business operation:

Total number of people employed in activities related to metals engineering, including principals, administrative and support staff:

 

We nominate:

to represent the company

Designation:

Signed:

Date:

Cheque enclosed / Visa / Mastercard
(Please make cheque payable to HERA)

Card Number:

Name on card:

Expiry date Signature:

FAX to 09 262 2856