Skip to content
Contact Us
Login
Subscribe
Hit enter to search or ESC to close
Search »
Menu
News
About Us
What We Do
Code of Conduct
Careers
Doing Good
Organisation Billing Details
Use this form to submit or update billing details for an Organisation.
If you are human, leave this field blank.
All details and information submitted is strictly confidential.
ORGANISATION IDENTIFICATION
Registered Name of the Organisation
*
BILLING INFORMATION
Title, Name and surname
*
E.g. Mr Nelson Mandela
Phone number
*
Email
*
Postal address
*
Format: Building/Post box/street and number, Suburb/town/city, Postal/zip code, Province/state, Country For example: PO Box 1713, Randburg, 2125, Gauteng, South Africa
Delivery address
*
Format: Building/floor/office number, Street and number, Suburb, Town/city, Area/postal/zip code, Province/state, Country For example: Office G17, The Workspace, 1 Maxwell Drive, Sunninghill, Sandton, 2191, Gauteng, South Africa
VAT number (if applicable)
SAMRA annual fees should be billed in:
*
March (100%)
March (50%) and August (50%)
Are you required to supply SAMRA with an order number for billing purposes?
*
If you select yes, SAMRA will not issue a tax invoice to the organisation but instead a quote (proforma invoice), until an order number has been supplied to SAMRA by the organisation.
No
Yes
Who should be billed for the annual fees for the organisation's Associate members' professional recognition, if applicable?
*
i.e. for SAMRA Accredited Marketing Researchers and SAMRA Partners
Organisation member
Associate member
TERMS AND CONDITIONS
I, the authorised representative for the above organisation, hereby certify that:
*
Select Yes to indicate agreement
Yes
The information set out in this submission is true and correct to the best of my knowledge.
I undertake, on behalf of the above organisation, to ensure payment of any fees due to SAMRA.
Submit Application Part B
ESOMAR News
GRBN News