Member Application – iBhayi Small Business Chamber

Annual Membership Application

Please complete the form below.
Once submitted, a copy of your completed application will be sent to your email address for review.

Annual Membership Fee Structure

Membership Category	Number of Employees	Annual Membership Fee
Category A	1 – 9 staff	R1,000 p/a
Category B	10 – 49 staff	R1,800 p/a
Category C	50+ staff	R3,800 p/a
Corporate	Corporate membership	R6,300 p/a

Corporate Membership:
Corporate membership applies to companies that are listed on a Stock Exchange and/or have international branches.

Company Name *

Trading Name

Company Type *

VAT Registration Number

Year Established *

Street Name *

Suburb

City

ZIP / Postal code

Office Phone *

Website

Number of staff *

Annual Turnover *<R10mR10m - R50m>R50m

Are you committed to attend at least one event per month: *

Representative Name *

Representative Surname *

Cellphone *

Email Address *

Name of 2nd Representative

Surname of 2nd Representative

Cellphone of 2nd Representative

Email Address of 2nd Representative

Business Category *ManufacturerRetailerDistributorWholesalerServiceImporterExporterMiningOther

Core Line of Business *

Corporate Membership CategoriesSmall & Medium (<R10m annual turnover)Large (>R10m & <R50m annual turnover)Multinationals & International (>R50m annual turnover)Founder Member Categories 1

Individual Membership CategoriesLess than 35 employeesMore than 35 employees

Company ProfileIn order to introduce your organization to the membership of the iBhayi Small Business Chamber, please send us a brief company profile. This profile should outline your company’s history, line of business, and significant projects (so we can brag about you). Kindly attach your company profile to this Membership Application Form (2MB file size limit)

No file chosen

List the areas in which you would like the Chamber to assist your organization *

Consent to process your application *

PERMISSIONS AND DISCLOSURES (POPIA):
You gave the Ibhayi Small Business Chamber permission to continue processing your application, as shown below.

PROTECTION OF PERSONAL INFORMATION:
We may use your information or obtain information about you for the following purposes:
• Market research and statistical analysis.
• Audit & record keeping purposes.
• Compliance with legal & regulatory requirements.
• Verifying your identity.
• Sharing information with other members, but we will not share your information with them unless we are satisfied that they have adequate security measures in place to protect your personal information.

You may access your personal information that we hold and may also request us to correct any errors or to delete this information. In certain cases, you have the right to object to the processing of your personal information.

You also have the right to complain to the Information Regulator, whose contact details are:
http://www.justice.gov.za/inforeg/index.html
Tel: 012 406 4818 Fax: 086 500 3351
Email: inforeg@justice.gov.za
To view our full privacy notice and to exercise your preferences, contact our office, it is available on request.

Consent to view and update personal information *

I hereby give Ibhayi Small Business Chamber permission to search for, view, update and store my personal information on its systems

Marketing Permission *

I agree that the Ibhayi Small Business Chamber may use my personal information to provide me with information about meetings, send me newsletters, share my contact details with other members, add me to their WhatsApp group and may take photos of me at events and share it on social media and other platforms.

Banking details – iBhayi Small Business Chamber
FNB, Current Account
Account Number: 62922 7424 75
Branch/Bank code: 250655
Please use your business name as the reference