Should you need to speak to a representative w.r.t membership, please contact Marlene Mulder at:
MEMBERSHIP APPLICATION
Name of Department/Programme/Unit:
Name of Institution:
Information on contact person:
Prof Dr Mr Ms
Last name: Initials:
Postal Address:
P.O. Box / Number and Street:
City:
State/Province:
Zip/Postal Code:
Country:
Contact detail:
Work Phone Number:
E-mail Address:
Website:
Phone: +27 12 420 4605 Fax: + 27 12 362 5307 E-mail:info@etmerc.org
