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JSSA Abstract submissions extended to 31 October 2023

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SAASSAP AFFILIATION 2023

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Full Name and Surname *

Date of Birth *

Gender *

Name of Institution *

Position held at Institution *

Email Address *

Office Contact Detail *

Secretary Contact Details *

Institution Postal Address *

Institution Postal Address Line 2

Institution Postal Address Line 3

Institution Postal Code *

Institution VAT Number *

Type of Affiliation *

Name of Secondary Member

Contact number for Secondary Member

Email Address for Secondary Member

Members Agreement

I acknowledge that I understand the membership package that I am taking and acknowledge the cost.

I am aware that the due date for membership payment is 31 May 2023. *

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