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pdf: 6.426kb - University of South Africa

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In order to receive Unisa Latin American Report regularly, please complete<br />

this form and return to the address below, together with your fees.<br />

APPLICATION FOR MEMBERSHIP<br />

The Secretary<br />

Unisa Centre for Latin American Studies<br />

PO Box 392<br />

UNISA<br />

0003 Republic <strong>of</strong> <strong>South</strong> <strong>Africa</strong><br />

FULL NAME OF PERSON (INCLUDING TITLE) OR COMPANY<br />

...............................................................................................................................................................................<br />

POSTAL ADDRESS<br />

...............................................................................................................................................................................<br />

........................................................................................................................... POSTAL CODE .....................<br />

TELEPHONE NOS (W) ........................................................... (H) ...........................................................<br />

FAX .............................................. E-mail address .......................................................................................<br />

Ordinary member ........... Donor member ...........<br />

Country member ........... Corporate member ...........<br />

Institutional member ........... Overseas member ...........<br />

I am/We are interested in the aims <strong>of</strong> the Unisa Centre for Latin American Studies and<br />

accept the obligations membership involves. I/We enclose a cheque/postal order for<br />

R................... for the year ..................<br />

.......................................................... ............................................................<br />

Signature<br />

Date<br />

MEMBERSHIP FEES<br />

<strong>South</strong> <strong>Africa</strong><br />

y<br />

Ordinary member: R50,00 per annum (An ordinary member is mainly based in the Gauteng<br />

(PWV) region; he/she will receive Unisa Latin American Report, advance notice <strong>of</strong> activities, free entrance to<br />

most lectures, and will have access to the Centre's database)<br />

Country member: R30,00 per annum (A country member will receive Unisa Latin American Report)<br />

Institutional member: R100,00 per annum (This category is for libraries, schools, etc)<br />

Donor member: R200,00 per annum (This category is for individuals who wish to make an extra<br />

contribution)<br />

Corporate member: R500,00 per annum (This category is for companies)<br />

Donor corporate member: An amount <strong>of</strong> R2 000,00 or more per annum (This category is<br />

for companies with a real and committed interest in Latin American Affairs)<br />

Overseas<br />

Overseas member: US$ 25,00 (Such members will receive Unisa Latin American Report via airmail)<br />

ISSN 0256±6060±Unisa Lat. Am. Rep. 16(2) 2000 91

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