English Membership Form

MEMBERSHIP R120 per year

The following is essential information:
Title, initials and Surname:
Work Number (0119983746):
Home Telephone (0119983746):
Fax (0119983746):
Cell Phone (0829983746):
Postal Address:
E-Mail:
Please indicate preferred way of communication:	Fax: Mail: E-Mail: SMS:
What do you expect from SASUOG Membership?
The following is not essential information, but which could be of use to our commercial sponsors. Please complete only if you agree to a trade representative calling on you.
Manufacturer:
Model (if known):
Year: