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Membership Form
Please complete this form and click the 'Apply' button. Enquiries: (011) 884 0270
My Company
wishes to become a Senior Corporate Member of the Free Market Foundation.
Annual Subscription (excluding VAT)	(Minimum R10,000)
The contact person is:
Name:
Position:
Address:
Tel:
Fax:
Email:
Payment:	Cheque   Bank Draft   Money Order Bank Transfer
Cheques, Bank Drafts and Money Orders should be made payable to the Free Market Foundation.  Please post with order form to P O Box 785121, Sandton, 2146   Bank Transfers should be made to: Account Name: Free Market Foundation Bank: Standard Bank of South Africa, Sandton branch Branch code: 019205 Account type: Current Account number: 421066946 Please fax the deposit slip to +27 (0)11 884-5672.

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