<p> Environmental Law Association</p><p>Membership Application / Renewal Form 2014</p><p>Please note:</p><p> A separate application form must be completed for each member  Members will receive the South African Journal of Environmental Law and Policy (SAJELP) as part of the membership fees. Any queries in this regard may be directed to Prof Michael Kidd, Faculty of Law, University of KwaZulu Natal [email protected]  It is absolutely crucial for members to inform the Secretariat of any change in contact details in order to ensure effective communication</p><p>PLEASE TICK THE APPROPRIATE BOX: Membership Application (new membership) Membership Renewal for 2014</p><p>Surname:……………………………………………………………………………………………………. Initials:……………………………………………………………………………………………………….. Full names:………………………………………………………………………………………………….. Occupation and affiliation:………………………………………………………………………………….</p><p>Postal address (essential for SAJELP distribution) ………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………</p><p>Province (essential for ELA regional communication)………………………………………………………………………………………………….</p><p>Email address (Important: please notify the ELA should you change your email address) ………………………………………………………………………………………………………...... Cell number:……… …………………. Telephone number (w):…… …………………… Fax number: ……………………………………….. Fields of interest/expertise: ………………………………………………………………………………… …………………………………………………………………………………………………………………. …………………………………………………………………………………………………………………. Why do you want to become a member of the ELA / what are your expectations of the ELA? …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… Date: ……………………………………………………</p><p>Applicable membership fee (2014) Tick applicable box: MEMBERSHIP TYPE FEE X Ordinary Membership R500-00 per year Reduced fee: Students, Seniors and Candidate Attorneys R250-00 per year (Proof to be provided with payment)</p><p>Membership fees should please be paid into the following account: [Please note the new account number]</p><p>Standard Bank Account number: 336303246 Account type: Savings Account name (reference): Environmental Law Association of South Africa Branch: Potchefstroom Branch code: 052838 Payment reference: Name & Surname</p><p>Your preferred mode of payment: Tick appropriate box</p><p>Electronic payment Cash Cheque</p><p>All payments into the ELA bank account must clearly indicate the name of the specific member. Unfortunately, unless a written notice is sent to the ELA Secretariat, no group payments (e.g. for several members of one firm) should be made.</p><p>The completed membership form together with the proof of payment should be faxed to (018) 299 1923 or emailed to enviro.association.sa @gmail.com (Attention: ELA Secretariat)</p>