We wish to apply for :

Associate Members
Contributing Members        
Sustaining Membership    
Reciprocal Membership    

We agree to abide by the rules of the Association and to pay an annual subscription where applicable.

Name of Organisation:

Postal Address:

Street Address:

Telephone:

Fax:

Email: *ESSENTIAL

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:

PAYMENT METHOD

Send a Cheque (Please make cheque payable to HERA)
Please invoice us
Pay by Visa Mastercard

Card Number:

Name on card:

Expiry date