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Subscription to The Newsletter

You may subscribe to the newsletter by completing the form below:

Members of ORSSA need not subscribe to the newsletter. They automatically receive paper copies of the newsletter as part of their member benefits.

Order form

<form action="http://www.orssa.org.za/wiki/formhandler_newsletter_editor.php" method="post"> <input type="hidden" name="Instruction:" value="NEWSLETTER EDITOR, kindly process. Message from Newsletter Subscription page" >

Title<select size="1" name="title"><option selected>Select</option><option>Prof</option><option>Dr</option><option>Mr</option><option>Mrs</option><option>Miss</option><option>Ms</option></select>
First Name(s)<input type="text" name="first_names" size="30"/>
Surname<input type="text" name="surname" size="30"/>
Address<textarea name="address" rows="4" cols="55"></textarea>
Postal Code<input type="text" name="post_code" size="4"/>
Fax Number<input type="text" name="fax_number" size="12"/> (Please include the area code)
Email address<input type="text" name="email_address" size="55"/>
Subscription Fee (for 4 Issue)<select size="1" name="fee"><option selected>Select</option><option>Within Southern Africa: R77.95</option><option>Southern Africa (Excluding South Africa): R127.50 + postage</option><option>Rest of the World: 17.15</option></select>
Method of payment<select size="1" name="method_of_payment"><option selected>Select and see instructions below</option><option>Will Post a Cheque (made payable to 'ORSSA')</option><option>Will Transfer Money Electronically into ORSSA's Account </option></select>
Order Previous Issues<input type="text" name="previous_volumes" size="30"/>
Message to Editor<textarea name="message_to_editor" rows="4" cols="65">You may type an optional message to the Editor here</textarea>
Security code:(:input captcha :)

<input type="submit" value="Submit"/> <input type="reset" value="Clear this Form and Start Over"/>


Payment Instructions: Cheques by Post

Cheques should be made payable to 'ORSSA' and may be posted to:

The Newsletter Editor
Mr Mark Einhorn
PO Box 3184
7602 Matieland
South Africa

Payment Instructions: Electronic Deposits

Subscription fees may also be transferred electronically into the bank account of ORSSA; details below:

Bank: Nedbank
Branch: Silverton, Pretoria
Branch Code: 164445
Account Name: ONSA/ORSSA
Account Number: 1644231638
(Please remember to include your name in the reference field)

Page last modified on February 20, 2012, at 12:29 PM